Jenna Dallman

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012835 Issued in IL

Practice address

3 Sunset Hills Professional Center
Suite 2
Edwardsville, IL 62025

Phone

(618) 655-0333

NPI assigned

Jul 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evolve Chiropractic Palatine PLLCGroup PAC ID 7719268820, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Evolve Chiropractic Palatine PLLC

  • Chiropractor
  • Palatine, IL
  • NPI 1861946923
  Medicare reassignment Care Compare group NPD
• Chiro One Wellness Center of Glenview Clinic, LLC

  • Chiropractor
  • Glenview, IL
  • NPI 1205984770
  Medicare reassignment NPD

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1730563230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 HENRY ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620023556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SUNSET HILLS PROFESSIONAL CENTER",
            "address_2": "SUITE 2",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "62025",
            "telephone_number": "618-655-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLMAN",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle R Csaszar, DMD
• Chad Franco Cuconato, RN
• Victoria Cullen, MSW
• Thea Ranee Cyr, RN
• Gerardo D'Amato, RBT
• David Darrow, SRNA
• Davey Professional Services LLC
• Terry Kay Davey, CCC-SLP
• Laurin Leighann Davidson
• Jeff Lee Davie, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.