Individual provider Active NPI

Stephanie A Cluver, DC

  • Chiropractor
  • Clinton, IL
National Provider Identifier
1922015668
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009054 Issued in IL
Practice address
203 E Side SQ
Clinton, IL 61727-1655
Phone
(217) 935-6555
Fax
(217) 935-4969
NPI assigned
Aug 2, 2006
Last updated
Aug 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009054 IL Primary

Addresses

Primary practice location

203 E Side SQ
Clinton, IL 61727-1655

Mailing address

203 E Side SQ
Clinton, IL 61727-1655
Phone (217) 935-6555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000499 IL Practitioner - Chiropractic 9335130491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Clinton Chiropractic Center, IncGroup PAC ID 3274775622, 2 clinicians

Practice addresses (Care Compare)

211 S Quincy St
Clinton, IL 61727-1953
Phone (217) 935-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038009054ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Chiropractic Center Inc Chiropractor CurrentSince Apr 1, 2013 Accepting new patients

Locations

203 E Side Sq
Clinton, IL 61727
Phone (217) 935-6555

211 S Quincy St
Clinton, IL 61727
Phone (217) 935-6555

Organizations & group practices 2

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1922015668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E SIDE SQ",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617271655",
            "telephone_number": "217-935-6555",
            "fax_number": "217-935-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E SIDE SQ",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617271655",
            "telephone_number": "217-935-6555",
            "fax_number": "217-935-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUVER",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.