Organization Active NPI

Heartland Chiropractic PLLC

Doing business as Heartland Chiropractic

  • Chiropractor
  • Murphysboro, IL
National Provider Identifier
1053289173
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEARTLAND CHIROPRACTIC PLLC
Doing business as
Heartland Chiropractic
Practice address
2001 Walnut St
Murphysboro, IL 62966-1911
Phone
(618) 615-5847
NPI assigned
Oct 29, 2025
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Dylan Witthoft, DCNPI 1265914337
Title
Chiropractor
Phone
(618) 615-5847

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)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

2001 Walnut St
Murphysboro, IL 62966-1911

Mailing address

2001 Walnut St
Murphysboro, IL 62966-1911
Phone (618) 615-5847

Other names 1

  • Heartland Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260113001333 IL Part B Supplier - Clinic/Group Practice 1850877564 Receives reassigned benefits from 1 practitioner
Practice locations: Murphysboro, IL

National Provider Directory

National Provider Directory

Locations

2001 Walnut St
Murphysboro, IL 62966
Phone (618) 615-5847

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1053289173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WALNUT ST",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629661911",
            "telephone_number": "618-615-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WALNUT ST",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629661911",
            "telephone_number": "618-615-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "WITTHOFT",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "618-615-5847",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murphysboro, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.

Verify at the official NPI Registry.