Individual provider Active NPI

Kathleen M McMahon Manning, D.C.

  • Chiropractor
  • Wheaton, IL
National Provider Identifier
1740299296
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008125 Issued in IL
Practice address
338 S County Farm Rd
Wheaton, IL 60187-4526
Phone
(630) 673-4298
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008125 IL Primary

Addresses

Primary practice location

338 S County Farm Rd
Wheaton, IL 60187-4526

Mailing address

338 S County Farm Rd
Wheaton, IL 60187-4526
Phone (630) 673-4298

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000677 IL Practitioner - Chiropractic 6709989205 Practice locations: Wheaton, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 S County Farm Rd
Suite E
Wheaton, IL 60187-4523
Phone (630) 673-4298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008125ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Paliakas DC Prof Corp PastSince Jun 1, 2012 Accepting new patients
QC Family Chiropractic and Rehabilitation Chiropractor Past Accepting new patients
Dimovski Chiropractic P.C. Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1740299296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 S COUNTY FARM RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874526",
            "telephone_number": "630-673-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 S COUNTY FARM RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874526",
            "telephone_number": "630-673-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON MANNING",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.