Organization Active NPI

Trenton Chiropractic Clinic LTD

  • Chiropractor
  • Trenton, IL
National Provider Identifier
1093867814
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TRENTON CHIROPRACTIC CLINIC LTD
Practice address
206 W Broadway
Trenton, IL 62293-1110
Phone
(618) 224-9118
NPI assigned
Jan 18, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Curt Wesselmann, DCNPI 1326096553
Title
President
Phone
(618) 224-9118

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Physical Therapist 225100000X

Addresses

Primary practice location

206 W Broadway
Trenton, IL 62293-1110

Mailing address

206 W Broadway
Trenton, IL 62293-1110
Phone (618) 224-9118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061128000305 IL Part B Supplier - Clinic/Group Practice 5597763664 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Trenton, IL

National Provider Directory

National Provider Directory

Locations

12 S Main St
Trenton, IL 62293
Phone (618) 224-9118

206 W Broadway
Trenton, IL 62293
Phone (618) 224-9118

Practitioners & affiliated clinicians

Practitioners 3

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1093867814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W BROADWAY",
            "city": "TRENTON",
            "state": "IL",
            "postal_code": "622931110",
            "telephone_number": "618-224-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W BROADWAY",
            "city": "TRENTON",
            "state": "IL",
            "postal_code": "622931110",
            "telephone_number": "618-224-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENTON CHIROPRACTIC CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WESSELMANN",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-224-9118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.