Organization Active NPI

Talley Chiropractic, PC

  • Chiropractor
  • Granite City, IL
National Provider Identifier
1346412921
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TALLEY CHIROPRACTIC, PC
Practice address
3100 Maryville Rd
Granite City, IL 62040-5119
Phone
(618) 931-4000
Fax
(618) 931-4040
NPI assigned
Mar 24, 2008
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Jason R. Talley, DC
Title
President
Phone
(618) 931-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

3100 Maryville Rd
Granite City, IL 62040-5119

Mailing address

3100 Maryville Rd
Granite City, IL 62040-5119
Phone (618) 931-4000

Other identifiers 1

IdentifierTypeStateIssuer
6026195OtherILBCBS

National Provider Directory

National Provider Directory

Locations

3100 Maryville Rd
Granite City, IL 62040
Phone (618) 420-9360

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1346412921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MARYVILLE RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620405119",
            "telephone_number": "618-931-4000",
            "fax_number": "618-931-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MARYVILLE RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620405119",
            "telephone_number": "618-931-4000",
            "fax_number": "618-931-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLEY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-931-4000",
        "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": "BCBS",
            "identifier": "6026195",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.