Organization Active NPI

Haschemeyer LLC

  • Chiropractor
  • South Jacksonville, IL
National Provider Identifier
1144749938
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HASCHEMEYER LLC
Practice address
1429 S Main St
South Jacksonville, IL 62650-3476
Phone
(217) 245-9797
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Authorized official

Name
Dr. Christopher Bruce Haschemeyer, D.C.NPI 1225384621
Title
Chiropractor
Phone
(217) 556-8217

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 1

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

Addresses

Primary practice location

1429 S Main St
South Jacksonville, IL 62650-3476

Mailing address

303 W Vandalia Rd
South Jacksonville, IL 62650-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180330000674 IL Part B Supplier - Clinic/Group Practice 8729340815 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, IL

National Provider Directory

National Provider Directory

Locations

329 S Main St
Jacksonville, IL 62650
Phone (217) 245-9797

1429 S Main St
Ste I
South Jacksonville, IL 62650
Phone (217) 245-9797

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1144749938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W VANDALIA RD",
            "city": "SOUTH JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 S MAIN ST",
            "city": "SOUTH JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503476",
            "telephone_number": "217-245-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASCHEMEYER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "HASCHEMEYER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "217-556-8217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jacksonville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.