Individual provider Active NPI

John G Merkling, D.C.

  • Chiropractor
  • Woodstock, IL
National Provider Identifier
1821095589
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038006525 Issued in IL
Practice address
126 S Jefferson St
Woodstock, IL 60098-3438
Phone
(815) 337-5500
Fax
(815) 337-5733
NPI assigned
Jul 7, 2005
Last updated
Jun 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038006525 IL Primary
Chiropractor 111N00000X 1129 AR
Chiropractor 111N00000X 3962 KY

Addresses

Primary practice location

126 S Jefferson St
Woodstock, IL 60098-3438

Mailing address

126 S Jefferson St
Woodstock, IL 60098-3438
Phone (815) 337-5500

Other identifiers 1

IdentifierTypeStateIssuer
5682024OtherILBC/BS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100204000507 IL Practitioner - Chiropractic 4880737485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

126 S Jefferson St
Woodstock, IL 60098-3438
Phone (815) 337-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1129ARMDChiropractor
3962KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Chiropractic Center Woodstock SC Chiropractor CurrentSince Feb 2, 1990 Accepting new patients

Locations

126 S Jefferson St
Woodstock, IL 60098
Phone (815) 337-5500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1821095589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S JEFFERSON ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983438",
            "telephone_number": "815-337-5500",
            "fax_number": "815-337-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S JEFFERSON ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983438",
            "telephone_number": "815-337-5500",
            "fax_number": "815-337-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKLING",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006525",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1129",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3962",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "5682024",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.