Organization Active NPI

Hastings Family Chiropractic, LTD

  • Chiropractor
  • Davis, IL
National Provider Identifier
1184809394
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010339 Issued in IL
Legal business name
HASTINGS FAMILY CHIROPRACTIC, LTD
Practice address
311 N Salisbury
Davis, IL 61019-9134
Phone
(815) 831-1265
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Dr. Angela Hastings-Kuhlmeier, DCNPI 1104808401
Title
Chiropractic Physician
Phone
(815) 831-1265

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 038010339 IL Primary

Addresses

Primary practice location

311 N Salisbury
Davis, IL 61019-9134

Mailing address

311 N Salisbury
Davis, IL 61019-9134
Phone (815) 831-1265

Other identifiers 2

IdentifierTypeStateIssuer
038010339MedicaidIL
10132172OtherILBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050819000630 IL Part B Supplier - Clinic/Group Practice 8921038894 Receives reassigned benefits from 1 practitioner
Practice locations: Davis, IL

National Provider Directory

National Provider Directory

Locations

1437 S Bell School Rd
Rockford, IL 61108
Phone (815) 398-3900

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1184809394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N SALISBURY",
            "city": "DAVIS",
            "state": "IL",
            "postal_code": "610199134",
            "telephone_number": "815-831-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N SALISBURY",
            "city": "DAVIS",
            "state": "IL",
            "postal_code": "610199134",
            "telephone_number": "815-831-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASTINGS FAMILY CHIROPRACTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "HASTINGS-KUHLMEIER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "815-831-1265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038010339",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10132172",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.