Walton CS-Xvi PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012090 Issued in IL

Legal business name

WALTON CS-XVI PC

Practice address

831 W Jackson Plaza
Morton, IL 61550-1569

Phone

(309) 263-5698

Fax

(309) 263-5697

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Charles Jason Carlin, DCNPI 1891094694

Title

Owner

Phone

(309) 263-5698

Specialties & licenses 1

Addresses

Other names 1

• Primary Care Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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

• Charles J Carlin, D.C

  • Chiropractor
  • Morton, IL
  • NPI 1891094694
  Medicare reassignment NPD Authorized official
• Catherine Gromer, DC

  • Chiropractor
  • Eureka, IL
  • NPI 1952334088
  NPD (past)
• Damon Paul Walton, DC

  • Chiropractor
  • Lincoln, IL
  • NPI 1518297100
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1346348802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 W JACKSON PLAZA",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501569",
            "telephone_number": "309-263-5698",
            "fax_number": "309-263-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 W JACKSON PLAZA",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501569",
            "telephone_number": "309-263-5698",
            "fax_number": "309-263-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTON CS-XVI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "CARLIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-263-5698",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chris Wade, PA-C
• Brooke A Wagner, ST
• Wal-Mart Stores, Inc
• Walmart Inc.
• Walton CS-XI P.C.
• We Care, Inc. of Morton
• Madeline Kaye Weyland, DPT
• Rachel White, DC
• Sarah White, APN, FNP-C
• Nikhia C Williams, APN

• All providers in Morton, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.