Organization Active NPI

Alpine Chiropractic and Natural Medicine, P.C.

  • Chiropractor
  • Oregon, IL
National Provider Identifier
1295077345
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012124 Issued in IL
Legal business name
ALPINE CHIROPRACTIC AND NATURAL MEDICINE, P.C.
Practice address
101 N 4TH St
Suite a
Oregon, IL 61061-1430
Phone
(815) 440-5120
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. Carri Anderson, D.C.NPI 1326312463
Title
President
Phone
(815) 440-5120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038012124 IL Primary

Addresses

Primary practice location

101 N 4TH St
Suite a
Oregon, IL 61061-1430

Mailing address

101 N 4TH St
Suite a
Oregon, IL 61061-1430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130604000432 IL Part B Supplier - Clinic/Group Practice 9133367055 Receives reassigned benefits from 1 practitioner
Practice locations: Oregon, IL

National Provider Directory

National Provider Directory

Locations

101 N 4th St
Ste A
Oregon, IL 61061
Phone (815) 440-5120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1295077345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 4TH ST",
            "address_2": "SUITE A",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610611430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 4TH ST",
            "address_2": "SUITE A",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610611430",
            "telephone_number": "815-440-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE CHIROPRACTIC AND NATURAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CARRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-440-5120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.