Active NPI
Harrisburg Family Chiropractic PC
- Chiropractor
- Harrisburg, IL
National Provider Identifier
1437234697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-010493
- Legal business name
- HARRISBURG FAMILY CHIROPRACTIC PC
- Practice address
- 1220 E Sloan St
Harrisburg, IL 62946-2716 - Phone
- (618) 252-5300
- NPI assigned
- Oct 26, 2006
- 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
- Dr. Justin Keith Thorpe, DC
- Title
- President Ceo
- Phone
- (618) 252-5300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-010493 | IL | Primary |
Addresses
Primary practice location
1220 E Sloan St
Harrisburg, IL 62946-2716
Mailing address
1220 E Sloan St
Harrisburg, IL 62946-2716
Phone (618) 252-5300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8332029 | Other | IL | BCBS OF IL |
| 744343 | Other | IL | HEALTHLINK |
| 038010493 | Medicaid | IL | MEDICAID |
| P00314027 | Other | IL | PIN |
National Provider Directory
National Provider DirectoryLocations
1220 E Sloan St
Harrisburg, IL 62946
Phone (618) 252-5300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Harrisburg, IL
- NPI 1417245606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184284800000",
"number": "1437234697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 E SLOAN ST",
"city": "HARRISBURG",
"state": "IL",
"postal_code": "629462716",
"telephone_number": "618-252-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 E SLOAN ST",
"city": "HARRISBURG",
"state": "IL",
"postal_code": "629462716",
"telephone_number": "618-252-5300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRISBURG FAMILY CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-13",
"status": "A",
"authorized_official_last_name": "THORPE",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "KEITH",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "618-252-5300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038-010493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "8332029",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "744343",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": "MEDICAID",
"identifier": "038010493",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "P00314027",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.