Individual provider Active NPI

Christopher Ross Mersinger, D.C.

  • Chiropractor
  • Willowbrook, IL
National Provider Identifier
1710041017
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
555 Plainfield Rd
Suite B
Willowbrook, IL 60527-7602
Phone
(630) 887-9400
Fax
(630) 887-9495
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

555 Plainfield Rd
Suite B
Willowbrook, IL 60527-7602

Mailing address

555 Plainfield Rd
Suite B
Willowbrook, IL 60527-7602
Phone (630) 887-9400

Other identifiers 1

IdentifierTypeStateIssuer
02232771OtherILBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000103 IL Practitioner - Chiropractic 5597770008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Pain Management LTDGroup PAC ID 4587960034, 4 clinicians

Practice addresses (Care Compare)

555 Plainfield Rd
Willowbrook, IL 60527-7602
Phone (630) 887-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009305ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Pain Management LTD. CurrentSince Feb 1, 2016 Accepting new patients

Locations

555 Plainfield Rd
Willowbrook, IL 60527
Phone (630) 442-0295

555 Plainfield Rd
Ste B
Willowbrook, IL 60527
Phone (630) 887-9400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1710041017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PLAINFIELD RD",
            "address_2": "SUITE B",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277602",
            "telephone_number": "630-887-9400",
            "fax_number": "630-887-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PLAINFIELD RD",
            "address_2": "SUITE B",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277602",
            "telephone_number": "630-887-9400",
            "fax_number": "630-887-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSINGER",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02232771",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.