Michael Christopher Walz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011847 Issued in IL

Practice address

731 Sabrina Dr
East Peoria, IL 61611-3581

Phone

(309) 699-2422

NPI assigned

Jan 5, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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 and National Provider Directory roles.

• Central Illinois Chiropractic Center PC

  • Chiropractor
  • East Peoria, IL
  • NPI 1164941308
  Medicare reassignment NPD Authorized official
• Central Illinois Center for TMJ and Facial Pain PC

  • Dentist
  • East Peoria, IL
  • NPI 1962745232
  NPD (past)

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1841594850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 SABRINA DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616113581",
            "telephone_number": "309-699-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 SABRINA DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616113581",
            "telephone_number": "309-699-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALZ",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038011847",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Walker, BA
• Walmart Inc.
• Kelsee Walsh, ATC
• Mallory Walters, BCBA
• Jack Glenn Walz, DDS
• Christopher Webb, DMD
• William Greg Weinman, D.C.
• Nathan Wenzel, PHARMD, MS
• Tyler Werner, PHARMD
• Dennis G Werry Jr., L.AC.

• Chiropractor in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.