NPIMap

Organization Active NPI

Hometown Chiropractic LTD

  • Chiropractor
  • Greenville, IL
National Provider Identifier
1053560052
Registry record updated Sep 15, 2008
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Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010756 Issued in IL
Legal business name
HOMETOWN CHIROPRACTIC LTD
Practice address
621 S 2ND St
Greenville, IL 62246-1744
Phone
(618) 664-0444
NPI assigned
Sep 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Vincent Silas Coll, DC
Title
Chiropractop
Phone
(618) 664-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038010756 IL Primary

Addresses

Primary practice location

621 S 2ND St
Greenville, IL 62246-1744

Mailing address

621 South 2ND St
Greenville, IL 62246

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1053560052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SOUTH 2ND ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "62246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S 2ND ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461744",
            "telephone_number": "618-664-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "COLL",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "SILAS",
        "authorized_official_title_or_position": "CHIROPRACTOP",
        "authorized_official_telephone_number": "618-664-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.