Active NPI
Flagship Chiropractic Wellness SC
- Health Service Clinic/Center
- Barrington, IL
National Provider Identifier
1154032225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- FLAGSHIP CHIROPRACTIC WELLNESS SC
- Practice address
- 330 E Main St Ste 219
Barrington, IL 60010-3203 - Phone
- (205) 412-4210
- NPI assigned
- Dec 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jordan Davis, DC
- Title
- President
- Phone
- (205) 412-4210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
330 E Main St Ste 219
Barrington, IL 60010-3203
Mailing address
106 Oak Knoll CT
Volo, IL 60020-3218
Phone (205) 412-4210
National Provider Directory
National Provider DirectoryLocations
330 E Main St
Ste 303
Barrington, IL 60010
Phone (815) 900-9860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670544000000",
"number": "1154032225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 OAK KNOLL CT",
"city": "VOLO",
"state": "IL",
"postal_code": "600203218",
"telephone_number": "205-412-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E MAIN ST STE 219",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600103203",
"telephone_number": "205-412-4210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLAGSHIP CHIROPRACTIC WELLNESS SC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-412-4210",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.