NPIMap

Organization Active NPI

Morningstar Chiropractic & Rehabilitation Center LTD

  • Chiropractor
  • Glen Carbon, IL
National Provider Identifier
1467460733
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008822 Issued in IL
Legal business name
MORNINGSTAR CHIROPRACTIC & REHABILITATION CENTER LTD
Practice address
3733 S State Route 159
Glen Carbon, IL 62034-3043
Phone
(618) 288-8090
Fax
(618) 288-4422
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Authorized official

Name
Andrew L. Morningstar, DC
Title
Owner
Phone
(618) 288-8090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038008822 IL Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038004337 IL

Addresses

Primary practice location

3733 S State Route 159
Glen Carbon, IL 62034-3043

Mailing address

PO Box 843
Glen Carbon, IL 62034-0843
Phone (618) 288-8090

Other practice location 1

2266 Madison Ave
Granite City, IL 62040-4705
Phone (618) 288-8090

Other identifiers 1

IdentifierTypeStateIssuer
06032118OtherILBCBS ILLINOIS

National Provider Directory

National Provider Directory

Locations

3733 S State Route 159
Glen Carbon, IL 62034
Phone (618) 288-8090

2266 Madison Ave
Granite City, IL 62040
Phone (618) 288-8090

Practitioners & affiliated clinicians

Practitioners 8

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1467460733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620340843",
            "telephone_number": "618-288-8090",
            "fax_number": "618-288-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 S STATE ROUTE 159",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343043",
            "telephone_number": "618-288-8090",
            "fax_number": "618-288-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2266 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620404705",
            "country_code": "US",
            "telephone_number": "618-288-8090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORNINGSTAR CHIROPRACTIC & REHABILITATION CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "MORNINGSTAR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-288-8090",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008822",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ILLINOIS",
            "identifier": "06032118",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.