Organization Active NPI

Chiropractic Works LLC

  • Chiropractor
  • Metropolis, IL
National Provider Identifier
1093906240
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC WORKS LLC
Practice address
723 Market St
Metropolis, IL 62960-1633
Phone
(618) 524-8300
Fax
(618) 524-8607
NPI assigned
Aug 5, 2007
Last updated
Mar 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Mrs. Kelley Lynn Betts, C.A.
Title
Office Manager
Phone
(618) 524-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

723 Market St
Metropolis, IL 62960-1633

Mailing address

723 Market St
Metropolis, IL 62960-1633
Phone (618) 524-8300

Other identifiers 1

IdentifierTypeStateIssuer
211962OtherGROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090402000512 IL Part B Supplier - Clinic/Group Practice 2961559208 Receives reassigned benefits from 1 practitioner
Practice locations: Metropolis, IL

National Provider Directory

National Provider Directory

Locations

723 Market St
Metropolis, IL 62960
Phone (618) 524-8300

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1093906240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 MARKET ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629601633",
            "telephone_number": "618-524-8300",
            "fax_number": "618-524-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 MARKET ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629601633",
            "telephone_number": "618-524-8300",
            "fax_number": "618-524-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-524-8300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.A."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "211962",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metropolis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.