Individual provider Active NPI

Mouneesha Tatineni, DC

  • Chiropractor
  • Warrenville, IL
National Provider Identifier
1952022402
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013894 Issued in IL
Practice address
28379 Davis Pkwy Ste 803
Warrenville, IL 60555-3032
Phone
(630) 393-2225
NPI assigned
Sep 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013894 IL Primary

Addresses

Primary practice location

28379 Davis Pkwy Ste 803
Warrenville, IL 60555-3032

Mailing address

852 Woodewind Dr
Naperville, IL 60563-4000
Phone (248) 472-8765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038.013894ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1952022402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 WOODEWIND DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634000",
            "telephone_number": "248-472-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28379 DAVIS PKWY STE 803",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553032",
            "telephone_number": "630-393-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATINENI",
        "first_name": "MOUNEESHA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.