Active NPI
John Girado, DC
- Chiropractor
- Carbondale, IL
National Provider Identifier
1285786079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038006734
- Practice address
- 205 E Main St
Carbondale, IL 62901-3008 - Phone
- (618) 457-0459
- Fax
- (618) 549-9203
- NPI assigned
- Jan 18, 2007
- Last updated
- Jul 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038006734 | IL | Primary |
Addresses
Primary practice location
205 E Main St
Carbondale, IL 62901-3008
Mailing address
205 E Main St
Carbondale, IL 62901-3008
Phone (618) 457-0459
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038006734 | Other | IL | IL LICENSE |
| 371267591 | Other | IL | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038006734 | IL | MD | Chiropractor |
| 20337 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Girardo Chiropractic Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Carbondale, IL
- NPI 1295887008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1285786079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E MAIN ST",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013008",
"telephone_number": "618-457-0459",
"fax_number": "618-549-9203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E MAIN ST",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013008",
"telephone_number": "618-457-0459",
"fax_number": "618-549-9203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRADO",
"first_name": "JOHN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038006734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE",
"identifier": "038006734",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "371267591",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.