Charles E King Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

1525 Johnson Rd
Granite City, IL 62040-3831

Phone

(618) 452-1986

Fax

(618) 452-6814

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

King Spinal and Sports Rehabilitation LTDGroup PAC ID 2466461439, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• King Spinal & Sports Rehabilitation, LTD.

  • Physical Therapist
  • Granite City, IL
  • NPI 1427157593

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285733360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620401343",
            "telephone_number": "618-452-1986",
            "fax_number": "618-452-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 JOHNSON RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620403831",
            "telephone_number": "618-452-1986",
            "fax_number": "618-452-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MISSOURI",
            "identifier": "164497",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ILLINOIS",
            "identifier": "06032044",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Keith, OTR/L
• Lisa Kercher, RPH
• Cheryl Anne Kessler, RNFA
• Kyle Ketterer, AGACNP-BC
• King Spinal & Sports Rehabilitation, LTD.
• Erin Lee King, M.D.
• Stephanie King, FNP-BC
• Terri Lou Klawonn, LCPC
• Mark A Kleindorfer, O.D.
• Kristopher Michael Klint, CRNA

• Chiropractor in Granite City, IL
• Providers in Granite City, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.