Individual provider Active NPI

Neil Andrew Munhofen, D.C.

  • Chiropractor
  • Collinsville, IL
National Provider Identifier
1932156486
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009100 Issued in IL
Practice address
414A Beltline Rd
Collinsville, IL 62234-4405
Phone
(618) 343-1100
Fax
(618) 343-0546
NPI assigned
May 30, 2006
Last updated
Mar 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009100 IL Primary

Addresses

Primary practice location

414A Beltline Rd
Collinsville, IL 62234-4405

Mailing address

414A Beltline Rd
Collinsville, IL 62234-4405
Phone (618) 343-1100

Other identifiers 1

IdentifierTypeStateIssuer
038009100MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110328000824 IL Practitioner - Chiropractic 3476548694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beltline Chiropractic LTDGroup PAC ID 0143215368, 2 clinicians

Practice addresses (Care Compare)

414 A Belt Line Rd
Collinsville, IL 62234-4405
Phone (618) 343-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beltline Chiropractic LTD Chiropractor CurrentSince Apr 1, 2003 Accepting new patients

Locations

414A Belt Line Rd
Collinsville, IL 62234
Phone (618) 343-1100

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1932156486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414A BELTLINE RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344405",
            "telephone_number": "618-343-1100",
            "fax_number": "618-343-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414A BELTLINE RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344405",
            "telephone_number": "618-343-1100",
            "fax_number": "618-343-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNHOFEN",
        "first_name": "NEIL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038009100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.