Organization Active NPI

Combs Chiropractic and Wellness Center S.C.

  • Chiropractor
  • Charleston, IL
National Provider Identifier
1265649289
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.010855 Issued in IL
Legal business name
COMBS CHIROPRACTIC AND WELLNESS CENTER S.C.
Practice address
1200 West Polk Ave.
Charleston, IL 61920
Phone
(217) 345-1010
NPI assigned
May 17, 2007
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Dr. Brandon Todd Combs, D.C.NPI 1801923271
Title
President
Phone
(217) 549-0038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.010855 IL Primary

Addresses

Primary practice location

1200 West Polk Ave.
Charleston, IL 61920

Mailing address

1200 W Polk Ave
Charleston, IL 61920-1713
Phone (217) 345-1011

National Provider Directory

National Provider Directory

Locations

1200 W Polk Ave
Charleston, IL 61920
Phone (217) 345-1010

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1265649289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W POLK AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619201713",
            "telephone_number": "217-345-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WEST POLK AVE.",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "61920",
            "telephone_number": "217-345-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMBS CHIROPRACTIC AND WELLNESS CENTER S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-549-0038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.010855",
            "primary": true
        }
    ],
    "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 Aug 15, 2024; 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.