Active NPI
Total Health Chiropractic
- Chiropractor
- Herrin, IL
National Provider Identifier
1376973214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038010250
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2832012 | Other | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Herrin, IL
- NPI 1780753756
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.