Organization Active NPI

Klepzig Natural Healing Clinic, Inc.

  • Nutrition Chiropractor
  • Charleston, IL
National Provider Identifier
1194151951
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
038.008290 Issued in IL
Legal business name
KLEPZIG NATURAL HEALING CLINIC, INC.
Practice address
35 Circle Dr
Charleston, IL 61920-2950
Phone
(217) 345-1416
Fax
(217) 345-1460
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Dr. Brian Keith Klepzig, D.C.,DIPL. AC.,L.AC
Title
Owner
Phone
(217) 345-1416

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X 038.008290 IL Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 198.000357 IL

Addresses

Primary practice location

35 Circle Dr
Charleston, IL 61920-2950

Mailing address

35 Circle Dr
Charleston, IL 61920-2950
Phone (217) 345-1416

National Provider Directory

National Provider Directory

Locations

2902 Crossing Ct
Ste D
Champaign, IL 61822
Phone (217) 359-7400

35 Circle Dr
Charleston, IL 61920
Phone (217) 345-1416

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1194151951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CIRCLE DR",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202950",
            "telephone_number": "217-345-1416",
            "fax_number": "217-345-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CIRCLE DR",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202950",
            "telephone_number": "217-345-1416",
            "fax_number": "217-345-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEPZIG NATURAL HEALING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "KLEPZIG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-345-1416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.,DIPL. AC.,L.AC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038.008290",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.