Clark Michael Buescher, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-3404 Issued in IL

Practice address

1524 W. Glen Avenue
Peoria, IL 61614

Phone

(309) 692-3800

Fax

(309) 692-4478

NPI assigned

Nov 29, 2006

Last updated

Feb 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benningfield and Associates, LLCGroup PAC ID 6709879794, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Benningfield & Associates, LLC

  • Chiropractor
  • Peoria, IL
  • NPI 1154429744
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1699842328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 W. GLEN AVENUE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61614",
            "telephone_number": "309-692-6800",
            "fax_number": "309-692-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W. GLEN AVENUE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61614",
            "telephone_number": "309-692-3800",
            "fax_number": "309-692-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUESCHER",
        "first_name": "CLARK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-3404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "072-82005",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Buehler
• Donald L Buehler, O.D.
• Benjamin Seth Buelter, D.C.
• Vanezza Pauline V. Buendia, PT, DPT
• Buescher Chiropractic Offices LTD
• Troy M Buescher, DC
• Eric M Bugaieski, MD
• Kiley Bugaieski
• Syed Omar Bukhari, MD
• Marilyn Bukoff Priddy, MA, RD, LDN

• Chiropractor in Peoria, IL
• Providers in Peoria, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.