Joseph C Probst, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

038008186 Issued in IL

Practice address

1407 Pate Plaza Dr
South Beloit, IL 61080-1431

Phone

(815) 389-7870

NPI assigned

Mar 22, 2007

Last updated

Aug 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

• Stateline Chiropractic & Sports Injury Clinic SC

  • Sports Physician Chiropractor
  • South Beloit, IL
  • NPI 1003028127
  Authorized official Same address or phone

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1265558837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 PATE PLAZA DR",
            "city": "SOUTH BELOIT",
            "state": "IL",
            "postal_code": "610801431",
            "telephone_number": "815-389-7870",
            "fax_number": "815-389-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 PATE PLAZA DR",
            "city": "SOUTH BELOIT",
            "state": "IL",
            "postal_code": "610801431",
            "telephone_number": "815-389-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROBST",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038008186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lynn Myher, LPN
• Thuy T Nguyen, DO
• Jessica A Ortega
• Kara Phillips
• Prairie Hill CCSD 133
• Reich Chiropractic Clinic PC
• Teresa Ann Sambrook, RN
• Nicole M Simpson, N.P.
• Catherine Jean Smith, M.A., CF-SLP
• Michelle Kay Smith, P.T.A.

• Sports Physician Chiropractor in South Beloit, IL
• Providers in South Beloit, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.