David M Atkins, D.C. – Chiropractor

Key facts

NPI: 1215190020
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: 038.010778 (IL)
Practice address: 1853 S Main St Ste B
Jacksonville, IL 62650-3583
Phone: (217) 243-5700
Fax: (217) 243-5711
NPI assigned: Jul 2, 2008
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Young Chiropractic & Acupuncture, LTD. Chiropractor · Champaign, IL · NPI 1891232153

NPD (past) CHIROPRACTOR

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
038.010778	IL	MD	Chiropractor

Practice roles

Organization	Specialty	Status	New patients
Young Chiropractic & Acupuncture, LTD.	Chiropractor	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	038.010778	IL	Yes
Nutrition Chiropractor	111NN1001X	038.010778	IL
Pediatric Chiropractor	111NP0017X	038.010778	IL

Addresses

Primary practice location

1853 S Main St Ste B
Jacksonville, IL 62650-3583

Mailing address

1853 S Main St Ste B
Jacksonville, IL 62650-3583
Phone (217) 243-5700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 2, 2008.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1215190020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 S MAIN ST STE B",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503583",
            "telephone_number": "217-243-5700",
            "fax_number": "217-243-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 S MAIN ST STE B",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503583",
            "telephone_number": "217-243-5700",
            "fax_number": "217-243-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.010778",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038.010778",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "IL",
            "license": "038.010778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, IL

All providers in Jacksonville, IL · Chiropractor in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.