Organization Active NPI

Rheinecker Chiropractic Care PC

  • Chiropractor
  • Steeleville, IL
National Provider Identifier
1780182279
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010877 Issued in IL
Legal business name
RHEINECKER CHIROPRACTIC CARE PC
Practice address
108 N Sparta St
Steeleville, IL 62288-1541
Phone
(618) 965-9555
Fax
(618) 965-9556
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Dr. Renee Lynn Rheinecker, DCNPI 1083761043
Title
Owner/Provider
Phone
(618) 965-9555

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038010877 IL Primary

Addresses

Primary practice location

108 N Sparta St
Steeleville, IL 62288-1541

Mailing address

108 N Sparta St
Steeleville, IL 62288-1541
Phone (618) 965-9555

Other names 1

  • RHEINECKER CHIROPRACTIC CARE Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180216000004 IL Part B Supplier - Clinic/Group Practice 5496015240 Receives reassigned benefits from 1 practitioner
Practice locations: Steeleville, IL

National Provider Directory

National Provider Directory

Locations

108 N Sparta St
Steeleville, IL 62288
Phone (618) 965-9555

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1780182279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N SPARTA ST",
            "city": "STEELEVILLE",
            "state": "IL",
            "postal_code": "622881541",
            "telephone_number": "618-965-9555",
            "fax_number": "618-965-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N SPARTA ST",
            "city": "STEELEVILLE",
            "state": "IL",
            "postal_code": "622881541",
            "telephone_number": "618-965-9555",
            "fax_number": "618-965-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEINECKER CHIROPRACTIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "RHEINECKER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "618-965-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RHEINECKER CHIROPRACTIC CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Steeleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.