Organization Active NPI

Healing Hands Chiropractic, PC

  • Chiropractor
  • Mount Vernon, IL
National Provider Identifier
1366737900
Registry record updated Jun 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011734 Issued in IL
Legal business name
HEALING HANDS CHIROPRACTIC, PC
Practice address
2801 Broadway St
Mount Vernon, IL 62864-2380
Phone
(618) 244-2444
NPI assigned
Jun 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2011

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

Authorized official

Name
Dr. Carol Gephart, DC
Title
President
Phone
(618) 244-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.011734 IL Primary

Addresses

Primary practice location

2801 Broadway St
Mount Vernon, IL 62864-2380

Mailing address

2801 Broadway St
Mount Vernon, IL 62864-2380
Phone (618) 244-2444

National Provider Directory

National Provider Directory

Locations

2801 Broadway St
Mount Vernon, IL 62864
Phone (618) 244-2444

NPI Registry JSON

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307750400000",
    "number": "1366737900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642380",
            "telephone_number": "618-244-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642380",
            "telephone_number": "618-244-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-11",
        "last_updated": "2011-06-11",
        "status": "A",
        "authorized_official_last_name": "GEPHART",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-244-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2011; 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.