NPIMap

Organization Active NPI

Sample Chiropractic

  • Chiropractor
  • Manteno, IL
National Provider Identifier
1245496256
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007593 Issued in IL
Legal business name
SAMPLE CHIROPRACTIC
Practice address
51 N Main St
Manteno, IL 60950-1534
Phone
(815) 468-7787
Fax
(815) 468-0154
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Mrs. Cheryl Paarlberg
Title
Office Manager
Phone
(815) 468-7787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-007593 IL Primary

Addresses

Primary practice location

51 N Main St
Manteno, IL 60950-1534

Mailing address

51 N Main St
Manteno, IL 60950-1534
Phone (815) 468-7787

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1245496256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N MAIN ST",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609501534",
            "telephone_number": "815-468-7787",
            "fax_number": "815-468-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N MAIN ST",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609501534",
            "telephone_number": "815-468-7787",
            "fax_number": "815-468-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPLE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "PAARLBERG",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-468-7787",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteno, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.