Individual provider Active NPI

John Henry Wegmann, DC

  • Chiropractor
  • Monmouth, IL
National Provider Identifier
1932133097
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038608010 Issued in IL
Practice address
309 South Main St
Monmouth, IL 61462-2111
Phone
(309) 734-2447
Fax
(309) 734-0749
NPI assigned
Jul 11, 2006
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038608010 IL Primary

Addresses

Primary practice location

309 South Main St
Monmouth, IL 61462-2111

Mailing address

309 South Main St
Monmouth, IL 61462-2111
Phone (309) 734-2447

Other identifiers 1

IdentifierTypeStateIssuer
038008010MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031121000134 IL Practitioner - Chiropractic 1658285739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maple City Chiropractic LTDGroup PAC ID 2365356540, 2 clinicians

Practice addresses (Care Compare)

309 S Main St
Monmouth, IL 61462-2161
Phone (309) 734-2447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038608010ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Maple City Chiropractic LTD Chiropractor CurrentSince Oct 22, 2003 Accepting new patients

Locations

309 S Main St
Monmouth, IL 61462
Phone (309) 734-2447

Organizations & group practices 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1932133097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SOUTH MAIN ST",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614622111",
            "telephone_number": "309-734-2447",
            "fax_number": "309-734-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SOUTH MAIN ST",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614622111",
            "telephone_number": "309-734-2447",
            "fax_number": "309-734-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGMANN",
        "first_name": "JOHN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038608010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038008010",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.