NPIMap

Organization Active NPI

Amador Chiropractic Clinic

  • Chiropractor
  • Orion, IL
National Provider Identifier
1275797805
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007539 Issued in IL
Legal business name
AMADOR CHIROPRACTIC CLINIC
Practice address
410 11TH Ave
Orion, IL 61273
Phone
(309) 526-3030
Fax
(309) 526-3095
NPI assigned
Jul 14, 2008
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mr. Kirk A Amador, D.C.
Title
Owner
Phone
(309) 526-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-007539 IL Primary

Addresses

Primary practice location

410 11TH Ave
Orion, IL 61273

Mailing address

410 11TH Ave
P.O. Box 463
Orion, IL 61273
Phone (309) 526-3030

Other identifiers 1

IdentifierTypeStateIssuer
3721898OtherILBLUE CROSS BLUE SHIELD NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1275797805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 11TH AVE",
            "address_2": "P.O. BOX 463",
            "city": "ORION",
            "state": "IL",
            "postal_code": "61273",
            "telephone_number": "309-526-3030",
            "fax_number": "309-526-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 11TH AVE",
            "city": "ORION",
            "state": "IL",
            "postal_code": "61273",
            "telephone_number": "309-526-3030",
            "fax_number": "309-526-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMADOR CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-526-3030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NUMBER",
            "identifier": "3721898",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.