NPIMap

Organization Active NPI

Runyan Chiropractic LLC

  • Chiropractor
  • St Charles, IL
National Provider Identifier
1497228746
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RUNYAN CHIROPRACTIC LLC
Practice address
1607 E Main St Ste a
St Charles, IL 60174-2390
Phone
(331) 222-9667
NPI assigned
Jan 9, 2019
Last updated
Jul 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Kimbra Runyan, DCNPI 1710487756
Title
Chiropractor
Phone
(847) 691-2727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1607 E Main St Ste a
St Charles, IL 60174-2390

Mailing address

274 Comstock Dr
Elgin, IL 60124-3811
Phone (847) 691-2727

National Provider Directory

National Provider Directory

Locations

1607 E Main St
Ste 2A
St Charles, IL 60174
Phone (331) 222-9667

1607 E Main St
Ste A
St Charles, IL 60174
Phone (331) 222-9667

Practitioners & affiliated clinicians

Practitioners 2

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": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1497228746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 COMSTOCK DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601243811",
            "telephone_number": "847-691-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E MAIN ST STE A",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742390",
            "telephone_number": "331-222-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNYAN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "RUNYAN",
        "authorized_official_first_name": "KIMBRA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "847-691-2727",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.