Active NPI
Ward Chiropractic PC
- Chiropractor
- Mattoon, IL
National Provider Identifier
1245311208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- WARD CHIROPRACTIC PC
- Practice address
- 1616 Lafayette Ave
Mattoon, IL 61938-3926 - Phone
- (217) 234-2243
- Fax
- (217) 234-2253
- NPI assigned
- Oct 18, 2006
- Last updated
- Nov 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terry Allen Ward, DC
- Title
- President Treasurer
- Phone
- (217) 234-2243
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary | |
| Acupuncturist | 171100000X | IL |
Addresses
Primary practice location
1616 Lafayette Ave
Mattoon, IL 61938-3926
Mailing address
1616 Lafayette Ave
Mattoon, IL 61938-3926
Phone (217) 234-2243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1616 Lafayette Ave
Mattoon, IL 61938
Phone (217) 234-2243
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Mattoon, IL
- NPI 1316918774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1245311208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 LAFAYETTE AVE",
"city": "MATTOON",
"state": "IL",
"postal_code": "619383926",
"telephone_number": "217-234-2243",
"fax_number": "217-234-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 LAFAYETTE AVE",
"city": "MATTOON",
"state": "IL",
"postal_code": "619383926",
"telephone_number": "217-234-2243",
"fax_number": "217-234-2253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARD CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT TREASURER",
"authorized_official_telephone_number": "217-234-2243",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattoon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.