NPIMap

Organization Active NPI

Girardo Chiropractic Center

  • Chiropractor
  • Carbondale, IL
National Provider Identifier
1295887008
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038006734 Issued in IL
Legal business name
GIRARDO CHIROPRACTIC CENTER
Practice address
205 E Main St
Carbondale, IL 62901-3008
Phone
(618) 457-0459
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
John GiradoNPI 1285786079
Title
Owner
Phone
(618) 457-0459

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 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

Other identifiers 1

IdentifierTypeStateIssuer
038006734OtherILLICENSE

National Provider Directory

National Provider Directory

Locations

205 E Main St
Carbondale, IL 62901
Phone (618) 457-0459

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1295887008",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIRARDO CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "GIRADO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-457-0459"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "038006734",
            "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 Aug 3, 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.

Verify at the official NPI Registry.