Organization Active NPI

Stenzel Chiropractic, LLC

  • Chiropractor
  • Red Bud, IL
National Provider Identifier
1821275363
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STENZEL CHIROPRACTIC, LLC
Practice address
204 W Market St
Red Bud, IL 62278-1029
Phone
(618) 282-3636
Fax
(618) 282-3635
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Quentin Richard Stenzel, D.C.NPI 1245358837
Title
Member
Phone
(618) 282-3636

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 IL Primary

Addresses

Primary practice location

204 W Market St
Red Bud, IL 62278-1029

Mailing address

204 W Market St
Red Bud, IL 62278-1029
Phone (618) 282-3636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080303000121 IL Part B Supplier - Clinic/Group Practice 5496839375 Receives reassigned benefits from 1 practitioner
Practice locations: Red Bud, IL

National Provider Directory

National Provider Directory

Locations

204 W Market St
Red Bud, IL 62278
Phone (618) 282-3636

Practitioners & affiliated clinicians

Practitioners 2

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": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1821275363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W MARKET ST",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622781029",
            "telephone_number": "618-282-3636",
            "fax_number": "618-282-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W MARKET ST",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622781029",
            "telephone_number": "618-282-3636",
            "fax_number": "618-282-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STENZEL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "STENZEL",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "618-282-3636",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bud, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.