Active NPI
Healthy Living Family Chiropractic, P.C.
- Chiropractor
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- HEALTHY LIVING FAMILY CHIROPRACTIC, P.C.
- Practice address
- 2202 Eastland Dr
Suite B
Bloomington, IL 61704-3585 - Phone
- (309) 662-3600
- NPI assigned
- Mar 11, 2009
- Last updated
- Mar 11, 2009
- 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. Chad Christian Wyatt, D.C.
- Title
- President
- Phone
- (870) 822-0218
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 | NU | Primary |
Addresses
Primary practice location
2202 Eastland Dr
Suite B
Bloomington, IL 61704-3585
Mailing address
2202 Eastland Dr
Suite B
Bloomington, IL 61704-3585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2202 Eastland Dr
Ste B
Bloomington, IL 61704
Phone (309) 661-4657
2206 Eastland Dr
Ste 403
Bloomington, IL 61704
425 W Front St
El Paso, IL 61738
Phone (309) 527-2840
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Bloomington, IL
- NPI 1326287939
-
- Chiropractor
- El Paso, IL
- NPI 1538169081
-
- Chiropractor
- Bloomington, IL
- NPI 1073752689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236729600000",
"number": "1033350657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 EASTLAND DR",
"address_2": "SUITE B",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617043585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 EASTLAND DR",
"address_2": "SUITE B",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617043585",
"telephone_number": "309-662-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY LIVING FAMILY CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-11",
"last_updated": "2009-03-11",
"status": "A",
"authorized_official_last_name": "WYATT",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "CHRISTIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-822-0218",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.