Marty Chiropractic Wellness Center, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MARTY CHIROPRACTIC WELLNESS CENTER, P.C.

Practice address

1310 N Il RT 251
Lostant, IL 61334-0207

Phone

(815) 368-3421

Fax

(815) 368-3404

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rhonda J Marty-Anderson, D.C.NPI 1821187493

Title

Co-Owner

Phone

(815) 368-3421

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rhonda Joan Marty Anderson, DC

  • Chiropractor
  • Lostant, IL
  • NPI 1821187493
  Medicare reassignment Care Compare group NPD Authorized official
• Eric Wayne Anderson, DC

  • Chiropractor
  • Lostant, IL
  • NPI 1063505071
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1750554010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N IL RT 251",
            "city": "LOSTANT",
            "state": "IL",
            "postal_code": "613340207",
            "telephone_number": "815-368-3421",
            "fax_number": "815-368-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N IL RT 251",
            "city": "LOSTANT",
            "state": "IL",
            "postal_code": "613340207",
            "telephone_number": "815-368-3421",
            "fax_number": "815-368-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTY CHIROPRACTIC WELLNESS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "MARTY-ANDERSON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "815-368-3421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Wayne Anderson, DC
• Lostant Comm Unit SCH Dist 425
• Lostant Fire Protection District
• Rhonda Joan Marty Anderson, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.