Flagship Chiropractic Wellness SC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

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

Last updated

Dec 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Davis, DCNPI 1215404090

Title

President

Phone

(205) 412-4210

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Davis, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1215404090
  Authorized official Same address or phone

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": []
}

• Russell Patrick Fitton IV, D.D.S
• Fitzgerald Nutrition
• Fitzgerald Nutrition
• Michael J Fitzgerald, DDS
• Maura Fitzpatrick, DO
• Robert M. Flanigan, M.D.
• Jennifer Davignon Fletcher, P.T.
• Elizabeth Victoria Florine, LMT, NCTMB
• Food 4 Thought Nutrition PLLC
• Shirley J. Forbes, M.D.

• Health Service Clinic/Center in Barrington, IL
• Providers in Barrington, IL by specialty
• Health Service Clinic/Center in Illinois

• 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.

Verify at the official NPI Registry.