Individual provider Active NPI

James Allen Filipiak, D.C.

  • Chiropractor
  • Mattoon, IL
National Provider Identifier
1487701231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008701 Issued in IL
Practice address
2112 Richmond Ave
Mattoon, IL 61938-2741
Phone
(217) 234-2225
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008701 IL Primary

Addresses

Primary practice location

2112 Richmond Ave
Mattoon, IL 61938-2741

Mailing address

316 Hickory LN
Mattoon, IL 61938-2017
Phone (217) 234-2225

Other identifiers 2

IdentifierTypeStateIssuer
182402OtherILPERSONAL CARE
016225564OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038-008701ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Spine and Rehab Chiropractor PastSince Jun 21, 2022 Accepting new patients
Chiropractic Clinic of Gretna PastSince Jun 19, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487701231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 HICKORY LN",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619382017",
            "telephone_number": "217-234-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 RICHMOND AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619382741",
            "telephone_number": "217-234-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIPIAK",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE",
            "identifier": "182402",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "016225564",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.