Dillon Lee Kaesberg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011854 Issued in IL

Practice address

112 N Main St
Marissa, IL 62257-1365

Phone

(618) 295-2268

Fax

(618) 295-3521

NPI assigned

Jan 4, 2011

Last updated

Jan 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southern Illinois Spine & Joint Center of Marissa LLC

  • Chiropractor
  • Marissa, IL
  • NPI 1053664557
  Medicare reassignment NPD
• Southern Illinois Spine & Joint Center, LLC

  • Chiropractor
  • Sparta, IL
  • NPI 1013098854
  NPD (past)

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1821392952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "MARISSA",
            "state": "IL",
            "postal_code": "622571365",
            "telephone_number": "618-295-2268",
            "fax_number": "618-295-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N MAIN ST",
            "city": "MARISSA",
            "state": "IL",
            "postal_code": "622571365",
            "telephone_number": "618-295-2268",
            "fax_number": "618-295-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAESBERG",
        "first_name": "DILLON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin R Behn, D.M.D., P.C.
• Gary Lane Benedict, D.C.
• Delbert Arthur Bollmann, RPH
• Steven Earl Dorf, D.M.D.
• Marissa Community Unit School District 40
• Marissa Food Mart (DBA Marissa Discount Pharmacy)
• Samantha Ramicone
• Megan Schmersahl
• Brittany M Segelhorst

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.