NPIMap

Organization Active NPI

Walton Clinic of Chiropractic Inc

Doing business as Walton Clinic of Chiropractic

  • Chiropractor
  • Springfield, IL
National Provider Identifier
1063740165
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.006944 Issued in IL
Legal business name
WALTON CLINIC OF CHIROPRACTIC INC
Doing business as
Walton Clinic of Chiropractic
Practice address
1229 S 6TH St
Springfield, IL 62703-2407
Phone
(217) 544-4000
NPI assigned
Dec 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Adrian Paul Walton, DCNPI 1740518810
Title
Member
Phone
(217) 544-4000

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 038.006944 IL Primary

Addresses

Primary practice location

1229 S 6TH St
Springfield, IL 62703-2407

Mailing address

1229 S 6TH St
Springfield, IL 62703-2407
Phone (217) 544-4000

Other names 1

  • Walton Clinic of Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100203000802 IL Part B Supplier - Clinic/Group Practice 9234272972 Receives reassigned benefits from 3 practitioners
Practice locations: Springfield, IL

National Provider Directory

National Provider Directory

Locations

1229 S 6th St
Springfield, IL 62703
Phone (217) 544-4000

Practitioners & affiliated clinicians

Practitioners 6

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": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1063740165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032407",
            "telephone_number": "217-544-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032407",
            "telephone_number": "217-544-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTON CLINIC OF CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "217-544-4000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.006944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walton Clinic of Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.