Taylorville Lifelong Chiropractic Center

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

038010164 Issued in IL

Legal business name

TAYLORVILLE LIFELONG CHIROPRACTIC CENTER

Practice address

400 W Market St
Taylorville, IL 62568-2188

Phone

(217) 287-1040

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward James Picone, D.C.NPI 1982614939

Title

Ownerchiropractor

Phone

(217) 287-1040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward James Picone, D.C.

  • Chiropractor
  • Taylorville, IL
  • NPI 1982614939
  NPD (past) Authorized official

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1497955264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MARKET ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625682188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MARKET ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625682188",
            "telephone_number": "217-287-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLORVILLE LIFELONG CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "PICONE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNERCHIROPRACTOR",
        "authorized_official_telephone_number": "217-287-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "038010164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "01132002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Renee Stokes
• Sutton Ambulance Service
• Sutton Ambulance Service LTD
• Joseph E. Taglioli, DMD
• Taylorville Comm. Unit Dist. #3
• Taylorville Medical Associates Lab
• Taylorville Memorial Childrens Hospital
• Taylorville Memorial Hospital
• Taylorville Memorial Hospital
• Taylorville Memorial Hospital

• Preferred Provider Organization in Taylorville, IL
• Providers in Taylorville, IL by specialty
• Preferred Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.