Calloway Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CALLOWAY CHIROPRACTIC PC

Practice address

228 N Chiles St
Carlinville, IL 62626-1606

Phone

(217) 854-3644

Fax

(217) 854-7107

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Kelly Anne Calloway, DCNPI 1720074156

Title

Owner

Phone

(217) 854-3644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Kelly Anne Calloway, DC

  • Chiropractor
  • Carlinville, IL
  • NPI 1720074156
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1124209390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N CHILES ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261606",
            "telephone_number": "217-854-3644",
            "fax_number": "217-854-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N CHILES ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261606",
            "telephone_number": "217-854-3644",
            "fax_number": "217-854-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLOWAY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "CALLOWAY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-854-3644",
        "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": []
}

• Katelyn Elizabeth Bormida, M.S., CCC-SLP
• Ellen Kay Braley, OD
• Joan Brown
• Kristin Buller, LCSW
• Samantha Butcher, OD
• Kelly Anne Calloway, DC
• Rebbecca Camerer, NP
• Carlinville Area Hospital Association
• Carlinville Area Hospital Association
• Carlinville Area Hospital Association

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.