Organization Active NPI

Capitol Chiromed, LTD.

Doing business as Capitol Chiropractic Health Center

  • Chiropractor
  • Springfield, IL
National Provider Identifier
1306811336
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAPITOL CHIROMED, LTD.
Doing business as
Capitol Chiropractic Health Center
Practice address
3631 S 6TH St
Suite B
Springfield, IL 62703-4777
Phone
(217) 391-5446
Fax
(217) 585-6720
NPI assigned
Feb 22, 2006
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Michelle Oliver, DC
Title
Office Manager
Phone
(217) 391-5446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

3631 S 6TH St
Suite B
Springfield, IL 62703-4777

Mailing address

3631 S 6TH St
Suite B
Springfield, IL 62703-4777
Phone (217) 391-5446

Other identifiers 1

IdentifierTypeStateIssuer
08423460OtherILBLUE CROSS BLUE SHIELD #

Other names 1

  • Capitol Chiropractic Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419001254 IL Part B Supplier - Clinic/Group Practice 2668467598 Receives reassigned benefits from 3 practitioners
Practice locations: Springfield, IL

National Provider Directory

National Provider Directory

Locations

3631 S 6th St
Ste B
Springfield, IL 62703
Phone (217) 391-5446

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1306811336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 S 6TH ST",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034777",
            "telephone_number": "217-391-5446",
            "fax_number": "217-585-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 S 6TH ST",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034777",
            "telephone_number": "217-391-5446",
            "fax_number": "217-585-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CHIROMED, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "217-391-5446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "08423460",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.