Active NPI
Lardi Chiropractic LTD
- Chiropractor
- Coal City, IL
National Provider Identifier
1174646483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-007152
- Legal business name
- LARDI CHIROPRACTIC LTD
- Practice address
- 495 E 1St St
Coal City, IL 60416-1633 - Phone
- (815) 634-3750
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Kelly Lardi, D.C.
- Title
- President
- Phone
- (815) 634-3750
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Coal City, IL
- NPI 1518433242
-
- Chiropractor
- Coal City, IL
- NPI 1841638301
-
- Chiropractor
- Coal City, IL
- NPI 1912926650
-
- Chiropractor
- O Fallon, IL
- NPI 1124040688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040511000083 | IL | Part B Supplier - Clinic/Group Practice | 1456340827 |
Receives reassigned benefits from 4 practitioners Practice locations: Coal City, IL |
National Provider Directory
National Provider DirectoryLocations
495 E 1st St
Coal City, IL 60416
Phone (815) 634-3750
415 W Division St
Coal City, IL 60416
Phone (815) 518-5228
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-007152 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
495 E 1St St
Coal City, IL 60416-1633
Mailing address
495 E 1St St
Coal City, IL 60416-1633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2011.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294876800000",
"number": "1174646483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 E 1ST ST",
"city": "COAL CITY",
"state": "IL",
"postal_code": "604161633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 E 1ST ST",
"city": "COAL CITY",
"state": "IL",
"postal_code": "604161633",
"telephone_number": "815-634-3750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARDI CHIROPRACTIC LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2011-01-13",
"status": "A",
"authorized_official_last_name": "LARDI",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-634-3750",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038-007152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coal City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.