Page Family Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038005681 Issued in IL

Legal business name

PAGE FAMILY CHIROPRACTIC CLINIC INC

Practice address

2700 N Jackson
Danville, IL 61832

Phone

(217) 446-7200

Fax

(217) 446-0090

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary Dean Page Jr., CHIROPRACTORNPI 1558470237

Title

President Chiropractor

Phone

(217) 446-7200

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Back Pain Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Gary Dean Page Jr., CHIROPRACTOR

  • Chiropractor
  • Danville, IL
  • NPI 1558470237
  Medicare reassignment NPD Authorized official
• Scott Alan Ritchie, CHIROPRACTOR

  • Chiropractor
  • Danville, IL
  • NPI 1760593701
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1154432193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N JACKSON",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61832",
            "telephone_number": "217-446-7200",
            "fax_number": "217-446-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N JACKSON",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61832",
            "telephone_number": "217-446-7200",
            "fax_number": "217-446-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGE FAMILY CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT CHIROPRACTOR",
        "authorized_official_telephone_number": "217-446-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005681",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE DR PAGE",
            "identifier": "010248",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9215163",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE DR PAGE",
            "identifier": "177908",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE DR RITCHIE",
            "identifier": "177910",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HLTH ALLIANCE DR RITCHIE",
            "identifier": "063656",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald Ervin Owens Jr., D.C.
• Stephanie Leigh Owens, LPN
• Duke V Oxendine, D.C.
• Steven H. Packard, M.D.
• Justin Padaoan, LCSW
• Gary Dean Page Jr., CHIROPRACTOR
• Andy Sungsoon Park, D.C.
• Surendra P Paruchuri, M.D.
• Usha R. Paruchuri, M.D.
• Paul Michael Pasquale, RPH

• Chiropractor in Danville, IL
• Providers in Danville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.