Organization Active NPI

Clarion Healing Center, LTD

  • Chiropractor
  • Carlyle, IL
National Provider Identifier
1154330546
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038004879 Issued in IL
Legal business name
CLARION HEALING CENTER, LTD
Practice address
971 Eula Mae Pkwy
Carlyle, IL 62231-6400
Phone
(618) 594-3671
Fax
(618) 594-8058
NPI assigned
Aug 5, 2006
Last updated
Jul 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
Dr. Matthew W Bretz, D.C.
Title
Authorized Official
Phone
(618) 594-3671

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038006845 IL
Chiropractor 111N00000X 038004879 IL Primary
Family Medicine Physician 207Q00000X 036101959 IL

Addresses

Primary practice location

971 Eula Mae Pkwy
Carlyle, IL 62231-6400

Mailing address

971 Eula Mae Pkwy
Carlyle, IL 62231-2401
Phone (618) 594-3671

National Provider Directory

National Provider Directory

Locations

101 Clintonian Plz
Breese, IL 62230
Phone (618) 526-1112

2431 Franklin St
Carlyle, IL 62231
Phone (618) 594-3671

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1154330546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 EULA MAE PKWY",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622312401",
            "telephone_number": "618-594-3671",
            "fax_number": "618-594-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 EULA MAE PKWY",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622316400",
            "telephone_number": "618-594-3671",
            "fax_number": "618-594-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARION HEALING CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "BRETZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "618-594-3671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006845",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004879",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036101959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlyle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.