Organization Active NPI

Austin Family Chiropractice, Inc.

  • Chiropractor
  • Virden, IL
National Provider Identifier
1053533109
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AUSTIN FAMILY CHIROPRACTICE, INC.
Practice address
157 N Springfield St
Virden, IL 62690-1455
Phone
(217) 965-3100
Fax
(845) 875-0531
NPI assigned
May 2, 2007
Last updated
Sep 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Dr. Todd W Austin, D.C.NPI 1235241423
Title
President
Phone
(217) 965-3100

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

157 N Springfield St
Virden, IL 62690-1455

Mailing address

157 N Springfield St
Virden, IL 62690-1455
Phone (217) 965-3100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111130000278 IL Part B Supplier - Clinic/Group Practice 3678747763 Receives reassigned benefits from 1 practitioner
Practice locations: Virden, IL

National Provider Directory

National Provider Directory

Locations

157 N Springfield St
Virden, IL 62690
Phone (217) 965-3100

Practitioners & affiliated clinicians

Practitioners 1

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1053533109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 N SPRINGFIELD ST",
            "city": "VIRDEN",
            "state": "IL",
            "postal_code": "626901455",
            "telephone_number": "217-965-3100",
            "fax_number": "845-875-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N SPRINGFIELD ST",
            "city": "VIRDEN",
            "state": "IL",
            "postal_code": "626901455",
            "telephone_number": "217-965-3100",
            "fax_number": "845-875-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN FAMILY CHIROPRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-965-3100",
        "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 Virden, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.