Organization Active NPI

Dieringer Chiropractic Health Clinic, LTD.

  • Chiropractor
  • Mokena, IL
National Provider Identifier
1679901896
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.009120 Issued in IL
Legal business name
DIERINGER CHIROPRACTIC HEALTH CLINIC, LTD.
Practice address
11141 W. 191St St
Mokena, IL 60448-9278
Phone
(708) 478-0620
Fax
(708) 479-8948
NPI assigned
Oct 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert John Dieringer, D.C.NPI 1174603294
Title
President/Secretary/Treasurer
Phone
(708) 478-0620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.009120 IL Primary

Addresses

Primary practice location

11141 W. 191St St
Mokena, IL 60448-9278

Mailing address

11141 W. 191St St
Mokena, IL 60448-9278
Phone (708) 478-0620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140315000268 IL Part B Supplier - Clinic/Group Practice 5294966230 Receives reassigned benefits from 1 practitioner
Practice locations: Mokena, IL

National Provider Directory

National Provider Directory

Locations

19806 Wolf Rd
Apt 104
Mokena, IL 60448
Phone (708) 478-0620

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1679901896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11141 W. 191ST ST",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489278",
            "telephone_number": "708-478-0620",
            "fax_number": "708-479-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11141 W. 191ST ST",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489278",
            "telephone_number": "708-478-0620",
            "fax_number": "708-479-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIERINGER CHIROPRACTIC HEALTH CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "DIERINGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY/TREASURER",
        "authorized_official_telephone_number": "708-478-0620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.009120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.