Jonathan David Diaz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

607 W Oak St
West Frankfort, IL 62896-2561

Phone

(618) 435-2500

NPI assigned

Feb 20, 2008

Last updated

Feb 20, 2008By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• McGuire Chiropractic Clinic S.C.

  • Chiropractor
  • Benton, IL
  • NPI 1689716359
  NPD (past)

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1861660102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N MAIN ST",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628121019",
            "telephone_number": "618-435-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W OAK ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962561",
            "telephone_number": "618-435-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deaconess Illinois Specialty Clinic, Inc. (Deaconess IL Specialty Express 909 W Main St)
• Deaconess Illinois Specialty Clinic, Inc. (Deaconess Illinois Clinic Express)
• Tamara Delong
• Amanda Denney, MSW, LCSW
• Kelsie Deppen
• Robert Thomas Dinga, PA-C
• Clark A Dixon, DMD
• Kortez Dixon
• Rachal Rebecca Doolin
• Jason Dorris, PA-C

• Chiropractor in West Frankfort, IL
• Providers in West Frankfort, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.