Organization Active NPI

Ballard Family Chiropractic LTD

  • Chiropractor
  • Effingham, IL
National Provider Identifier
1063957207
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38011506 Issued in IL
Legal business name
BALLARD FAMILY CHIROPRACTIC LTD
Practice address
14225 E 1600TH Ave
Effingham, IL 62401-6746
Phone
(217) 347-5010
Fax
(217) 347-5011
NPI assigned
Dec 26, 2016
Last updated
Dec 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Dr. Abbie Jane Fox Ballard, D.C.NPI 1316170962
Title
President
Phone
(217) 347-5010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38011506 IL Primary

Addresses

Primary practice location

14225 E 1600TH Ave
Effingham, IL 62401-6746

Mailing address

PO Box 6108
Effingham, IL 62401-6108
Phone (217) 347-5010

National Provider Directory

National Provider Directory

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": "1482710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1063957207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6108",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624016108",
            "telephone_number": "217-347-5010",
            "fax_number": "217-347-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14225 E 1600TH AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624016746",
            "telephone_number": "217-347-5010",
            "fax_number": "217-347-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD FAMILY CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-26",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "ABBIE",
        "authorized_official_middle_name": "JANE FOX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-347-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38011506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.