Dishong Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DISHONG CHIROPRACTIC CLINIC PC

Practice address

600 W Main St
Olney, IL 62450-1542

Phone

(618) 392-2223

Fax

(618) 392-3261

NPI assigned

Apr 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerald Orville Dishong, D.C.NPI 1255357604

Title

Owner

Phone

(618) 392-2223

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Jerald O Dishong, DC

  • Chiropractor
  • Olney, IL
  • NPI 1255357604
  Authorized official Same address or phone

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093939613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W MAIN ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624501542",
            "telephone_number": "618-392-2223",
            "fax_number": "618-392-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W MAIN ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624501542",
            "telephone_number": "618-392-2223",
            "fax_number": "618-392-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISHONG CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DISHONG",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "ORVILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-392-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08020396",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Renee Deters, PHARMD
• Developmental Specialists of Southeastern Il, Inc.
• Luis C Devenecia Jr., MD
• Dorothea U Diciro, APN, CS
• Lydia Dickey, BS
• Jerald O Dishong, DC
• Don Edward Abel DDS PC
• Donita Schrey PLLC
• Marbie Downen, MT
• Dr Daniel J Brown, LTD

• Chiropractor in Olney, IL
• Providers in Olney, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.