Organization Active NPI

NXT Level Wellness, LLC

  • Chiropractor
  • Springfield, IL
National Provider Identifier
1164859765
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012119 Issued in IL
Legal business name
NXT LEVEL WELLNESS, LLC
Practice address
2025 W Iles Ave
Springfield, IL 62704-4190
Phone
(217) 787-7500
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Dr. Karl Oliger, D.C.
Title
Clinic Director
Phone
(217) 787-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038012119 IL Primary

Addresses

Primary practice location

2025 W Iles Ave
Springfield, IL 62704-4190

Mailing address

2025 W Iles Ave
Springfield, IL 62704-4190
Phone (217) 787-7500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140410000551 IL Part B Supplier - Clinic/Group Practice 4486884830 Receives reassigned benefits from 3 practitioners
Practice locations: Springfield, IL

National Provider Directory

National Provider Directory

Locations

2025 W Iles Ave
Springfield, IL 62704
Phone (217) 787-6761

2931 Montvale Dr
Springfield, IL 62704
Phone (217) 787-7500

Practitioners & affiliated clinicians

Practitioners 4

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": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1164859765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044190",
            "telephone_number": "217-787-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044190",
            "telephone_number": "217-787-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NXT LEVEL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "OLIGER",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "217-787-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.