Organization Active NPI

Ama Chiropractic Alternative Services PC

  • Chiropractor
  • Edwardsville, IL
National Provider Identifier
1104028265
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AMA CHIROPRACTIC ALTERNATIVE SERVICES PC
Practice address
340 South Fillmore St
Edwardsville, IL 62025
Phone
(618) 692-9763
Fax
(618) 692-9772
NPI assigned
Jun 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Farook Muhiuddin, DC
Title
President
Phone
(618) 288-7518

Specialties & licenses 1

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

Addresses

Primary practice location

340 South Fillmore St
Edwardsville, IL 62025

Mailing address

38 Cobblestone LN
Glen Carbon, IL 62034-1496
Phone (618) 288-7518

National Provider Directory

National Provider Directory

Locations

403 Wolf St
Edwardsville, IL 62025
Phone (618) 692-9763

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104028265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 COBBLESTONE LN",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341496",
            "telephone_number": "618-288-7518",
            "fax_number": "618-692-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SOUTH FILLMORE ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "62025",
            "telephone_number": "618-692-9763",
            "fax_number": "618-692-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMA CHIROPRACTIC ALTERNATIVE SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUHIUDDIN",
        "authorized_official_first_name": "FAROOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-288-7518",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

  • 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.