Organization Active NPI

Integrity Spine and Joint Center LTD

  • Chiropractor
  • Troy, IL
National Provider Identifier
1417374935
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011517 Issued in IL
Legal business name
INTEGRITY SPINE AND JOINT CENTER LTD
Practice address
604 Edwardsville Rd
Troy, IL 62294-1336
Phone
(618) 667-8100
Fax
(618) 667-1919
NPI assigned
Mar 21, 2014
Last updated
Mar 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Dr. Arthur LangstonNPI 1275867236
Title
Owner
Phone
(618) 667-8100

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
Chiropractor 111N00000X 038.011517 IL Primary

Addresses

Primary practice location

604 Edwardsville Rd
Troy, IL 62294-1336

Mailing address

604 Edwardsville Rd
Troy, IL 62294-1336

Other names 1

  • Integrity Spine and Joint Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140612001192 IL Part B Supplier - Clinic/Group Practice 6901020965 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, IL

National Provider Directory

National Provider Directory

Locations

805 Lions Dr
Troy, IL 62294
Phone (618) 667-0600

Practitioners & affiliated clinicians

Practitioners 4

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": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1417374935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 EDWARDSVILLE RD",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 EDWARDSVILLE RD",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941336",
            "telephone_number": "618-667-8100",
            "fax_number": "618-667-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY SPINE AND JOINT CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "LANGSTON",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-667-8100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Spine and Joint Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Troy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.