Dugger Chiropractic Center, P.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

DUGGER CHIROPRACTIC CENTER, P.C.

Practice address

104 N State St
Jerseyville, IL 62052-1701

Phone

(618) 498-3447

Fax

(618) 498-1607

NPI assigned

Nov 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Blake Dugger, D.C.

Title

President

Phone

(618) 498-3447

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Derek Alan Woolsey, D.C.

  • Chiropractor
  • Jerseyville, IL
  • NPI 1366589152
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1376725689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N STATE ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620521701",
            "telephone_number": "618-498-3447",
            "fax_number": "618-498-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N STATE ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620521701",
            "telephone_number": "618-498-3447",
            "fax_number": "618-498-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUGGER CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "DUGGER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-498-3447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF ILLINOIS",
            "identifier": "4226824",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "442190",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laria Ra Davis, LSW
• Steven Kyle Dawson, DMD
• Addison Jade Dikkeboom
• McKenzie Dixon, COTA/L
• Leoncio S Dizon, MD
• Noah Joseph Dunlap
• Kristin Elmore, FNP-BC
• Cristy A Elving-Dial, MD
• Aaron Wade Etcheson, D.M.D., M.S.
• Alexandra Irene Evans, FNP-BC

• Sports Physician Chiropractor in Jerseyville, IL
• Providers in Jerseyville, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.