Organization Active NPI

Total Health Chiropractic

  • Chiropractor
  • Herrin, IL
National Provider Identifier
1376973214
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010250 Issued in IL
Legal business name
TOTAL HEALTH CHIROPRACTIC
Practice address
120 E Herrin St
Herrin, IL 62948-3163
Phone
(618) 988-9830
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Kelly Chullen-Hoppers, DC
Title
Owner
Phone
(618) 988-9830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038010250 IL Primary

Addresses

Primary practice location

120 E Herrin St
Herrin, IL 62948-3163

Mailing address

120 E Herrin St
Herrin, IL 62948-3163

Other identifiers 1

IdentifierTypeStateIssuer
2832012OtherBCBS

National Provider Directory

National Provider Directory

Locations

120 E Herrin St
Herrin, IL 62948
Phone (618) 942-6355

Practitioners & affiliated clinicians

Practitioners 1

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": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1376973214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E HERRIN ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E HERRIN ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483163",
            "telephone_number": "618-988-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "CHULLEN-HOPPERS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-988-9830",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2832012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.