Organization Active NPI

Menner Chiropractic, LLC

  • Chiropractor
  • North Barrington, IL
National Provider Identifier
1720201957
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038006436 Issued in IL
Legal business name
MENNER CHIROPRACTIC, LLC
Practice address
110 S Wynstone Park Dr
Suite 105
North Barrington, IL 60010-6979
Phone
(847) 540-6060
Fax
(847) 277-8012
NPI assigned
Apr 10, 2007
Last updated
Sep 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Dr. David J Menner, D.C.NPI 1528164399
Title
Owner
Phone
(847) 540-6060

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
Chiropractor 111N00000X 038006436 IL Primary

Addresses

Primary practice location

110 S Wynstone Park Dr
Suite 105
North Barrington, IL 60010-6979

Mailing address

110 S Wynstone Park Dr
Suite 105
North Barrington, IL 60010-6979
Phone (847) 540-6060

Other identifiers 1

IdentifierTypeStateIssuer
4923238OtherILBCBSIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080404000401 IL Part B Supplier - Clinic/Group Practice 2264447234 Receives reassigned benefits from 2 practitioners
Practice locations: N Barrington, IL

National Provider Directory

National Provider Directory

Locations

165 S Rand Rd
Lake Zurich, IL 60047
Phone (847) 507-1412

110 S Wynstone Park Dr
Ste 105
North Barrington, IL 60010
Phone (847) 540-6060

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1720201957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WYNSTONE PARK DR",
            "address_2": "SUITE 105",
            "city": "NORTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106979",
            "telephone_number": "847-540-6060",
            "fax_number": "847-277-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S WYNSTONE PARK DR",
            "address_2": "SUITE 105",
            "city": "NORTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106979",
            "telephone_number": "847-540-6060",
            "fax_number": "847-277-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "MENNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-540-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "4923238",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.