Active NPI
Stephanie M Monroe D.C., P.C.
- Chiropractor
- Godfrey, IL
National Provider Identifier
1982743126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- STEPHANIE M MONROE D.C., P.C.
- Practice address
- 3302 Godfrey Rd
Godfrey, IL 62035-2558 - Phone
- (618) 467-2744
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephanie M Monroe, D.C.
- Title
- President
- Phone
- (618) 467-2744
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
3302 Godfrey Rd
Godfrey, IL 62035-2558
Mailing address
3302 Godfrey Rd
Godfrey, IL 62035-2558
Phone (618) 467-2744
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 293662 | Other | IL | HEALTHLINK |
| 06021571 | Other | IN | BLUE CROSS BLUE SHIELD IL |
| 4400408 | Other | IL | UHC |
| 105211 | Other | MO | BLUE SHIELD OF MO |
| 5178160 | Other | IL | AETNA |
Other names 1
- River Bend Chiropractic Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3302 Godfrey Rd
Godfrey, IL 62035
Phone (618) 467-2744
Interoperability endpoints
- doc@rbcc0001.direct.chirotouch.md
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Godfrey, IL
- NPI 1437120581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194998400000",
"number": "1982743126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 GODFREY RD",
"city": "GODFREY",
"state": "IL",
"postal_code": "620352558",
"telephone_number": "618-467-2744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 GODFREY RD",
"city": "GODFREY",
"state": "IL",
"postal_code": "620352558",
"telephone_number": "618-467-2744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHANIE M MONROE D.C., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2007-11-14",
"status": "A",
"authorized_official_last_name": "MONROE",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-467-2744",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "293662",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD IL",
"identifier": "06021571",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "4400408",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF MO",
"identifier": "105211",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5178160",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "River Bend Chiropractic Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Godfrey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.