NPIMap

Organization Active NPI

Chiropro of Highland, LLC

  • Chiropractor
  • Highland, IL
National Provider Identifier
1598224909
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRO OF HIGHLAND, LLC
Practice address
208 Flax Dr
Highland, IL 62249-1375
Phone
(618) 651-6310
Fax
(618) 651-6315
NPI assigned
Mar 15, 2019
Last updated
Jan 17, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SHILOH CHIROPRACTIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Robert RiceNPI 1174620975
Title
Chiropractic Physician
Phone
(618) 979-0398

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 NU Primary

Addresses

Primary practice location

208 Flax Dr
Highland, IL 62249-1375

Mailing address

1231 Thouvenot LN # 100
Shiloh, IL 62269-7203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190501001612 IL Part B Supplier - Clinic/Group Practice 7012259625 Receives reassigned benefits from 11 practitioners
Practice locations: Highland, IL

National Provider Directory

National Provider Directory
Part of
Shiloh Chiropractic LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

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": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1598224909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 THOUVENOT LN # 100",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FLAX DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491375",
            "telephone_number": "618-651-6310",
            "fax_number": "618-651-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRO OF HIGHLAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHILOH CHIROPRACTIC, LLC",
        "enumeration_date": "2019-03-15",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "618-979-0398"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.