Organization Active NPI

Draper Chiropractic LLC

  • Chiropractor
  • East Alton, IL
National Provider Identifier
1376310797
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DRAPER CHIROPRACTIC LLC
Practice address
131 N Bellwood Dr Ste B
East Alton, IL 62024-2088
Phone
(618) 259-3333
Fax
(618) 259-3334
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Siera Draper, DCNPI 1285234518
Title
Owner/Manager
Phone
(618) 920-6420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

131 N Bellwood Dr Ste B
East Alton, IL 62024-2088

Mailing address

131 N Bellwood Dr Ste B
East Alton, IL 62024-2088
Phone (618) 259-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240126000307 IL Part B Supplier - Clinic/Group Practice 6103279146 Receives reassigned benefits from 2 practitioners
Practice locations: East Alton, IL

National Provider Directory

National Provider Directory

Locations

2 Terminal Dr
Ste 13
East Alton, IL 62024
Phone (618) 259-3333

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1376310797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N BELLWOOD DR STE B",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242088",
            "telephone_number": "618-259-3333",
            "fax_number": "618-259-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N BELLWOOD DR STE B",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242088",
            "telephone_number": "618-259-3333",
            "fax_number": "618-259-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAPER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "SIERA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "618-920-6420",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.