NPIMap

Organization Active NPI

Bleecker Clinicpllc

  • Chiropractor
  • Decatur, IL
National Provider Identifier
1144919481
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BLEECKER CLINICPLLC
Practice address
2828 N Main St
Decatur, IL 62526-3277
Phone
(319) 331-3037
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Dr. James Sheahan Bleecker, DCNPI 1700986320
Title
Owner
Phone
(319) 331-3037

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

2828 N Main St
Decatur, IL 62526-3277

Mailing address

2828 N Main St
Decatur, IL 62526-3277
Phone (319) 331-3037

National Provider Directory

National Provider Directory

Locations

2828 N Main St
Decatur, IL 62526
Phone (319) 331-3037

Practitioners & affiliated clinicians

Practitioners 1

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": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1144919481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263277",
            "telephone_number": "319-331-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263277",
            "telephone_number": "319-331-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEECKER CLINICPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "BLEECKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SHEAHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-331-3037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.