Organization Active NPI

Groves Family Chiropractic Limited

Doing business as Groves Family Chiropractic

  • Chiropractor
  • Decatur, IL
National Provider Identifier
1467951897
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-011813 Issued in IL
Legal business name
GROVES FAMILY CHIROPRACTIC LIMITED
Doing business as
Groves Family Chiropractic
Practice address
3419 N Woodford St
Decatur, IL 62526-2839
Phone
(217) 864-1253
NPI assigned
Feb 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Dr. Matthew Groves, DCNPI 1578865986
Title
President/Chiropractor
Phone
(217) 864-1253

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 038-011813 IL Primary

Addresses

Primary practice location

3419 N Woodford St
Decatur, IL 62526-2839

Mailing address

3419 N Woodford St
Decatur, IL 62526-2839
Phone (217) 864-1253

Other names 1

  • Groves Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180723003341 IL Part B Supplier - Clinic/Group Practice 9335496272 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, IL

National Provider Directory

National Provider Directory

Locations

3419 N Woodford St
Decatur, IL 62526
Phone (217) 864-1253

Practitioners & affiliated clinicians

Practitioners 4

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": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1467951897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 N WOODFORD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262839",
            "telephone_number": "217-864-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 N WOODFORD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262839",
            "telephone_number": "217-864-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVES FAMILY CHIROPRACTIC LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "217-864-1253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-011813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Groves Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.