NPIMap

Organization Active NPI

Creo-Fit

  • Chiropractor
  • Hanna City, IL
National Provider Identifier
1154696680
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CREO-FIT
Practice address
12127 W Farmington Rd
Hanna City, IL 61536-9481
Phone
(309) 370-7427
NPI assigned
Mar 16, 2012
Last updated
Mar 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Dr. Kimberly Wakefield Gaston, DCNPI 1801837281
Title
Owner
Phone
(309) 370-7427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

12127 W Farmington Rd
Hanna City, IL 61536-9481

Mailing address

12127 W Farmington Rd
Hanna City, IL 61536-9481
Phone (309) 370-7427

National Provider Directory

National Provider Directory

Locations

12127 W Farmington Rd
Hanna City, IL 61536
Phone (309) 370-7427

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1154696680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12127 W FARMINGTON RD",
            "city": "HANNA CITY",
            "state": "IL",
            "postal_code": "615369481",
            "telephone_number": "309-370-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12127 W FARMINGTON RD",
            "city": "HANNA CITY",
            "state": "IL",
            "postal_code": "615369481",
            "telephone_number": "309-370-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREO-FIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "WAKEFIELD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-370-7427",
        "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 Hanna City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.