Organization Active NPI

Faccin Chiropractic, PC

  • Chiropractor
  • East Alton, IL
National Provider Identifier
1043368434
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FACCIN CHIROPRACTIC, PC
Practice address
2 Terminal Dr
Suite 8B
East Alton, IL 62024-2268
Phone
(618) 258-8610
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Christina Faccin, DC
Title
President
Phone
(618) 258-8610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2 Terminal Dr
Suite 8B
East Alton, IL 62024-2268

Mailing address

2 Terminal Dr
Suite 8B
East Alton, IL 62024-2268
Phone (618) 258-8610

National Provider Directory

National Provider Directory

Locations

2 Terminal Dr
Ste 8B
East Alton, IL 62024
Phone (618) 258-8610

2 Terminal Dr
Ste 15
East Alton, IL 62024
Phone (618) 258-8610

203 S 6th St
Wood River, IL 62095
Phone (618) 254-9355

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1043368434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TERMINAL DR",
            "address_2": "SUITE 8B",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242268",
            "telephone_number": "618-258-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TERMINAL DR",
            "address_2": "SUITE 8B",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242268",
            "telephone_number": "618-258-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACCIN CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "FACCIN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-258-8610",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in East Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.