Brett William Clasquin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038 007776 Issued in IL

Practice address

221 S Main St
Smithton, IL 62285-1709

Phone

(618) 235-4120

Fax

(618) 235-4120

NPI assigned

Nov 16, 2005

Last updated

Aug 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1316929235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "address_2": "221 S MAIN ST",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "622850307",
            "telephone_number": "618-235-4120",
            "fax_number": "618-235-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S MAIN ST",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "622851709",
            "telephone_number": "618-235-4120",
            "fax_number": "618-235-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLASQUIN",
        "first_name": "BRETT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038 007776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret June Bircher, DMD
• Thomas Gregory Bircher, DMD
• Brian Blevins, PHARMD
• Bria of Smithton LLC
• Ca Group, LLC
• Kasey Marie Crook
• Steven J Crowe, PT
• Delaney Therapy Innovations
• Family Focus Chiropractic PLLC (Family Focus Chiropractic)
• Groceries of Southern Illinois LLC (Smithton Pharmacy)

• Chiropractor in Smithton, IL
• Providers in Smithton, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.