NPIMap

Organization Active NPI

Shiloh Chiropractic, LLC

  • Chiropractor
  • Shiloh, IL
National Provider Identifier
1063595239
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SHILOH CHIROPRACTIC, LLC
Practice address
1207 Thouvenot LN
Suite 100
Shiloh, IL 62269-8915
Phone
(618) 234-8300
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Brandon Rice, B.S., D.C.NPI 1174620975
Title
Owner
Phone
(618) 234-8300

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

1207 Thouvenot LN
Suite 100
Shiloh, IL 62269-8915

Mailing address

1207 Thouvenot LN
Suite 100
Shiloh, IL 62269-8915
Phone (618) 234-8300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061229000019 IL Part B Supplier - Clinic/Group Practice 5496755274 Receives reassigned benefits from 11 practitioners
Practice locations: Shiloh, IL

National Provider Directory

National Provider Directory

Locations

1207 Thouvenot Ln
Ste 100
Shiloh, IL 62269
Phone (618) 234-8300

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063595239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 THOUVENOT LN",
            "address_2": "SUITE 100",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622698915",
            "telephone_number": "618-234-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 THOUVENOT LN",
            "address_2": "SUITE 100",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622698915",
            "telephone_number": "618-234-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-234-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.