NPIMap

Organization Active NPI

Mascoutah Chiropractic LTD

  • Chiropractor
  • Mascoutah, IL
National Provider Identifier
1164839171
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038126642 Issued in IL
Legal business name
MASCOUTAH CHIROPRACTIC LTD
Practice address
212 S Jefferson St
Mascoutah, IL 62258-2421
Phone
(618) 566-4144
NPI assigned
Jul 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Stephanie Schnitker, D.C.
Title
Owner/Doctor
Phone
(618) 566-4144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038126642 IL Primary

Addresses

Primary practice location

212 S Jefferson St
Mascoutah, IL 62258-2421

Mailing address

212 S Jefferson St
Mascoutah, IL 62258-2421
Phone (618) 566-4144

National Provider Directory

National Provider Directory

Locations

212 S Jefferson St
Mascoutah, IL 62258
Phone (618) 566-4144

Practitioners & affiliated clinicians

Practitioners 1

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": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1164839171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S JEFFERSON ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582421",
            "telephone_number": "618-566-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S JEFFERSON ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582421",
            "telephone_number": "618-566-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASCOUTAH CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "SCHNITKER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "618-566-4144",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038126642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mascoutah, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.