Organization Active NPI

Corrective Chiropractic Health Center Inc

  • Chiropractor
  • East Moline, IL
National Provider Identifier
1487950721
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007559 Issued in IL
Legal business name
CORRECTIVE CHIROPRACTIC HEALTH CENTER INC
Practice address
2500 Kennedy Dr
East Moline, IL 61244-2619
Phone
(309) 755-9515
Fax
(309) 755-9521
NPI assigned
Feb 3, 2011
Last updated
Apr 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Jerry RuplingerNPI 1750366225
Title
President
Phone
(309) 755-9515

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
Chiropractor 111N00000X 038007559 IL Primary

Addresses

Primary practice location

2500 Kennedy Dr
East Moline, IL 61244-2619

Mailing address

2500 Kennedy Dr
East Moline, IL 61244-2619
Phone (309) 755-9515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110425000034 IL Part B Supplier - Clinic/Group Practice 4587849211 Receives reassigned benefits from 1 practitioner
Practice locations: East Moline, IL

National Provider Directory

National Provider Directory

Locations

2500 Kennedy Dr
East Moline, IL 61244
Phone (309) 755-9515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1487950721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 KENNEDY DR",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612442619",
            "telephone_number": "309-755-9515",
            "fax_number": "309-755-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 KENNEDY DR",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612442619",
            "telephone_number": "309-755-9515",
            "fax_number": "309-755-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIVE CHIROPRACTIC HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "RUPLINGER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-755-9515"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.