Organization Active NPI

Clinton Chiropractic Center Inc

  • Chiropractor
  • Clinton, IL
National Provider Identifier
1609213487
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLINTON CHIROPRACTIC CENTER INC
Practice address
203 E Side SQ
Clinton, IL 61727-1655
Phone
(217) 935-6555
Fax
(217) 935-4969
NPI assigned
Jun 3, 2013
Last updated
Aug 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Authorized official

Name
Dr. Stephanie A Cluver, DCNPI 1922015668
Title
Owner/ Provider
Phone
(217) 935-6555

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

203 E Side SQ
Clinton, IL 61727-1655

Mailing address

203 E Side SQ
Clinton, IL 61727-1655
Phone (217) 935-6555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130814000270 IL Part B Supplier - Clinic/Group Practice 3274775622 Receives reassigned benefits from 2 practitioners
Practice locations: Clinton, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1609213487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E SIDE SQ",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617271655",
            "telephone_number": "217-935-6555",
            "fax_number": "217-935-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E SIDE SQ",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617271655",
            "telephone_number": "217-935-6555",
            "fax_number": "217-935-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "CLUVER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "217-935-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.