Organization Active NPI

The Adjustment Bureau PC

  • Chiropractor
  • Salem, IL
National Provider Identifier
1164832762
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011452 Issued in IL
Legal business name
THE ADJUSTMENT BUREAU PC
Doing business as
Smith Chiropractic and Wellness Center
Practice address
322 W Schwartz St
Salem, IL 62881-1550
Phone
(618) 548-1136
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Dr. Richard Daniel Smith, M.S.,D.C.NPI 1023348356
Title
Ceo/Chiropractor
Phone
(618) 322-5219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011452 IL Primary

Addresses

Primary practice location

322 W Schwartz St
Salem, IL 62881-1550

Mailing address

322 W Schwartz St
Salem, IL 62881-1550
Phone (618) 548-1136

Other names 1

  • Smith Chiropractic and Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140801001413 IL Part B Supplier - Clinic/Group Practice 2961628623 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, IL

National Provider Directory

National Provider Directory

Locations

322 W Schwartz St
Salem, IL 62881
Phone (618) 548-1136

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1164832762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W SCHWARTZ ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811550",
            "telephone_number": "618-548-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W SCHWARTZ ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811550",
            "telephone_number": "618-548-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ADJUSTMENT BUREAU PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO/CHIROPRACTOR",
        "authorized_official_telephone_number": "618-322-5219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.S.,D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.