Mt Vernon Spine and Disc Center, LLC
NPI 1164701967ActiveOrganization· Chiropractor· Mount Vernon, IL
Chiropractor in Mount Vernon, Illinois, registered in NPPES in August 2011. The authorized official on file is Kenton John McMahon, D.C., Doctor/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164701967 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2011 |
| Last updated in NPPES | Aug 10, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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