Active NPI
Jane Dintzner, LMT
- Massage Therapist
- Crystal Lake, IL
National Provider Identifier
1710437694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227005946
- Practice address
- 820 E Terra Cotta Ave
Suite 101
Crystal Lake, IL 60014-3649 - Phone
- (815) 788-8383
- NPI assigned
- Oct 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227005946 | IL | Primary |
Addresses
Primary practice location
820 E Terra Cotta Ave
Suite 101
Crystal Lake, IL 60014-3649
Mailing address
820 E Terra Cotta Ave
Suite 101
Crystal Lake, IL 60014-3649
Phone (815) 788-8383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227005946 | IL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nature's Balance Acupuncture | Massage Therapist | Past | Accepting new patients |
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": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1710437694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 E TERRA COTTA AVE",
"address_2": "SUITE 101",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143649",
"telephone_number": "815-788-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 E TERRA COTTA AVE",
"address_2": "SUITE 101",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143649",
"telephone_number": "815-788-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINTZNER",
"first_name": "JANE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-04",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227005946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.