Organization Active NPI

Preferred Chiropractic LLC

  • Chiropractor
  • Fairview HTS, IL
National Provider Identifier
1386796324
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PREFERRED CHIROPRACTIC LLC
Practice address
5007 N Illinois St
Suite 1
Fairview HTS, IL 62208-3419
Phone
(618) 235-4357
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Christopher Worth, DCNPI 1811945058
Title
President
Phone
(618) 235-4357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5007 N Illinois St
Suite 1
Fairview HTS, IL 62208-3419

Mailing address

PO Box 23617
Belleville, IL 62223-0617
Phone (618) 235-4357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050601000772 IL Part B Supplier - Clinic/Group Practice 4082656947 Receives reassigned benefits from 1 practitioner
Practice locations: Fairview Heights, IL

National Provider Directory

National Provider Directory

Locations

5007 N Illinois St
Fairview Hts, IL 62208
Phone (618) 235-4357

Practitioners & affiliated clinicians

Practitioners 3

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1386796324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23617",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622230617",
            "telephone_number": "618-235-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 N ILLINOIS ST",
            "address_2": "SUITE 1",
            "city": "FAIRVIEW HTS",
            "state": "IL",
            "postal_code": "622083419",
            "telephone_number": "618-235-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WORTH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-235-4357",
        "authorized_official_name_prefix": "Dr.",
        "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 Fairview HTS, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.