Organization Active NPI

Harrisburg Family Chiropractic PC

  • Chiropractor
  • Harrisburg, IL
National Provider Identifier
1437234697
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010493 Issued in IL
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

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Dr. Justin Keith Thorpe, DCNPI 1841373941
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8332029OtherILBCBS OF IL
744343OtherILHEALTHLINK
038010493MedicaidILMEDICAID
P00314027OtherILPIN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.