Active NPI
Antonio Salinas Jr., D.C.
- Chiropractor
- Fairbury, IL
National Provider Identifier
1629370606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.011808
- 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.
-
- Chiropractor
- Fairbury, IL
- NPI 1942503370
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110401000897 | IL | Practitioner - Chiropractic | 2769666502 | Practice locations: Fairbury, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.011808 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janecek Chiropractic Clinic | Chiropractor | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.011808 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary 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.