Individual provider Active NPI

Antonio Salinas Jr., D.C.

  • Chiropractor
  • Fairbury, IL
National Provider Identifier
1629370606
Registry record updated Sep 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011808 Issued in IL
Practice address
109 W Walnut St
Fairbury, IL 61739-1557
Phone
(815) 692-2802
NPI assigned
Nov 24, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

109 W Walnut St
Fairbury, IL 61739-1557
Phone (815) 692-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000897 IL Practitioner - Chiropractic 2769666502 Practice locations: Fairbury, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011808ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Janecek Chiropractic Clinic Chiropractor CurrentSince Jul 1, 2023 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

109 W Walnut St
Fairbury, IL 61739
Phone (815) 692-2802

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011808 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

109 W Walnut St
Fairbury, IL 61739-1557

Mailing address

109 1/2 W Walnut St
Fairbury, IL 61739-1573
Phone (815) 692-2802

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2017.

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1629370606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 1/2 W WALNUT ST",
            "city": "FAIRBURY",
            "state": "IL",
            "postal_code": "617391573",
            "telephone_number": "815-692-2802",
            "fax_number": "815-692-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W WALNUT ST",
            "city": "FAIRBURY",
            "state": "IL",
            "postal_code": "617391557",
            "telephone_number": "815-692-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALINAS",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-24",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbury, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.