Jacob M Funk, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JACOB M FUNK, LLC

Doing business as

Better Health & Performance Chiropractic

Practice address

1409 Troy Rd
Edwardsville, IL 62025-2532

Phone

(618) 659-2080

NPI assigned

Jan 22, 2013

Organization subpart

No

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

Authorized official

Name

Jacob Funk, DCNPI 1700194750

Title

Owner

Phone

(618) 659-2080

Specialties & licenses 1

Addresses

Other names 1

• Better Health & Performance Chiropractic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Funk, D.C.

  • Chiropractor
  • East Alton, IL
  • NPI 1700194750
  NPD (past) Authorized official

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1003154378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 TROY RD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252532",
            "telephone_number": "618-659-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 TROY RD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252532",
            "telephone_number": "618-659-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB M FUNK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-659-2080",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Health & Performance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lauren Mae Iwakiri
• Debra Marlene Jackson, MS-CCC/SLP
• Jazmine Jacobb
• Alexander R James, PH.D.
• Alicia Triplett Janssen, OD
• Jeffrey S. Hammer, M.D., LLC
• Heather Sue Jenny, PT

• Chiropractor in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.