NPIMap

Organization Active NPI

Empower Chiropractic LLC

  • Chiropractor
  • Milledgeville, IL
National Provider Identifier
1376940718
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012432 Issued in IL
Legal business name
EMPOWER CHIROPRACTIC LLC
Practice address
444 N Main Ave
Milledgeville, IL 61051-9506
Phone
(815) 855-3061
Fax
(815) 855-3062
NPI assigned
Dec 1, 2014
Last updated
Dec 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Dr. Demi Blair-Sturtevant, DC
Title
Owner/Doctor
Phone
(815) 855-3061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038012432 IL Primary

Addresses

Primary practice location

444 N Main Ave
Milledgeville, IL 61051-9506

Mailing address

PO Box 132
Milledgeville, IL 61051-0132
Phone (815) 855-3061

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1376940718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "MILLEDGEVILLE",
            "state": "IL",
            "postal_code": "610510132",
            "telephone_number": "815-855-3061",
            "fax_number": "815-855-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N MAIN AVE",
            "city": "MILLEDGEVILLE",
            "state": "IL",
            "postal_code": "610519506",
            "telephone_number": "815-855-3061",
            "fax_number": "815-855-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "BLAIR-STURTEVANT",
        "authorized_official_first_name": "DEMI",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "815-855-3061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.