Organization Active NPI

McAuliffe Chiropractic, LLC

  • Chiropractor
  • Columbia, IL
National Provider Identifier
1386106169
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MCAULIFFE CHIROPRACTIC, LLC
Practice address
109 Wedgewood Dr
Columbia, IL 62236-1016
Phone
(618) 281-7171
Fax
(618) 281-7666
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Kara Lamack, DC
Title
Chiropractor
Phone
(618) 281-7171

Specialties & licenses 1

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

Addresses

Primary practice location

109 Wedgewood Dr
Columbia, IL 62236-1016

Mailing address

109 Wedgewood Dr
Columbia, IL 62236-1016
Phone (618) 281-7171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190815000299 IL Part B Supplier - Clinic/Group Practice 0345577201 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, IL

National Provider Directory

National Provider Directory

Locations

109 Wedgewood Dr
Columbia, IL 62236
Phone (618) 281-7171

Practitioners & affiliated clinicians

Practitioners 2

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": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1386106169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WEDGEWOOD DR",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361016",
            "telephone_number": "618-281-7171",
            "fax_number": "618-281-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WEDGEWOOD DR",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361016",
            "telephone_number": "618-281-7171",
            "fax_number": "618-281-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCAULIFFE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "LAMACK",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "618-281-7171",
        "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 Columbia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.