Individual provider Active NPI

Arthur Langston, D.C.

  • Rehabilitation Chiropractor
  • Troy, IL
National Provider Identifier
1275867236
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
038011517 Issued in IL
Practice address
604 Edwardsville Rd
Troy, IL 62294-1336
Phone
(618) 667-8100
NPI assigned
Sep 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 038011517 IL Primary
Sports Physician Chiropractor 111NS0005X 038011517 IL

Addresses

Primary practice location

604 Edwardsville Rd
Troy, IL 62294-1336

Mailing address

604 Edwardsville Rd
Troy, IL 62294-1336
Phone (618) 667-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000364 IL Practitioner - Chiropractic 8325184807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

805 Lions Dr
Troy, IL 62294-2440
Phone (618) 667-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011517ILMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Spine and Joint Center LTD CurrentSince Apr 1, 2014 Accepting new patients
Troy Pain Relief Center LTD Past Accepting new patients
Pain Relief Center of Vandalia Inc Past Accepting new patients
Piasa Pain Center LLC Past Accepting new patients

Locations

604 Edwardsville Rd
Troy, IL 62294
Phone (618) 667-8100

805 Lions Dr
Troy, IL 62294
Phone (618) 667-0600

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1275867236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 EDWARDSVILLE RD",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941336",
            "telephone_number": "618-667-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 EDWARDSVILLE RD",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941336",
            "telephone_number": "618-667-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "ARTHUR",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038011517",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038011517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.