Upper Cervical Care of Alton LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

038008971 Issued in IL

Legal business name

UPPER CERVICAL CARE OF ALTON LLC

Practice address

3 Professional Dr
Suite B
Alton, IL 62002-5067

Phone

(618) 465-7177

NPI assigned

Nov 29, 2011

Organization subpart

Yes

Parent organization

PIASA PAIN CENTER LLCAs reported in NPPES

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

Authorized official

Name

Wynndel Buenger, M.D.NPI 1336257245

Title

Manager

Phone

(618) 465-7177

Specialties & licenses 1

Addresses

Part of

Piasa Pain Center LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Piasa Pain Center LLC

  • Pain Clinic/Center
  • Acton, IL
  • NPI 1558583732
  NPPES parent name

Practitioners 2

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

• Wynndel T Buenger, MD

  • Pain Medicine Physician
  • Alton, IL
  • NPI 1336257245
  NPD Authorized official
• Nathan Andrew Vuagniaux, D.C.

  • Chiropractor
  • Edwardsville, IL
  • NPI 1518040583
  NPD (past)

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1073880423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL DR",
            "address_2": "SUITE B",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025067",
            "telephone_number": "618-465-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL DR",
            "address_2": "SUITE B",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025067",
            "telephone_number": "618-465-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CERVICAL CARE OF ALTON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIASA PAIN CENTER LLC",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "BUENGER",
        "authorized_official_first_name": "WYNNDEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-465-7177",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "038008971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey L. Turner, MD
• Simone Turner, BA
• Dianne Lee Turpen, MS, SLP
• Anne Ugabi, MD
• Jasbir Deol Upadhyaya, BDS, MSC, PHD
• Achint Utreja, DDS
• Madhusudan Vallala, MD
• Maren Valyo, CF-SLP
• Kelly Van, RN
• Jedediah James Vance, PHARMD

• Health Service Clinic/Center in Alton, IL
• Providers in Alton, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.