Organization Active NPI

Lardi Chiropractic LTD

  • Chiropractor
  • Coal City, IL
National Provider Identifier
1174646483
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007152 Issued in IL
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.NPI 1407843717
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.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-007152 IL Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.