Christina Faccin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009622 Issued in IL

Practice address

4105 Humbert Rd Ste 102
Alton, IL 62002-7161

Phone

(618) 463-1600

Fax

(618) 463-1624

NPI assigned

Jun 10, 2005

Last updated

Aug 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bemis Tupman Chiropractic LLCGroup PAC ID 2163753021, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bemis Tupman Chiropractic LLC

  • Chiropractor
  • Alton, IL
  • NPI 1003462417
  Medicare reassignment Care Compare group NPD
• Wood River Chiropractic, LLC

  • Chiropractor
  • Wood River, IL
  • NPI 1659819530
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1609870294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 HUMBERT RD STE 102",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620027161",
            "telephone_number": "618-463-1600",
            "fax_number": "618-463-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 HUMBERT RD STE 102",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620027161",
            "telephone_number": "618-463-1600",
            "fax_number": "618-463-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACCIN",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "119180",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "664851",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00058381",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "06032043",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "478038",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLANS",
            "identifier": "U91683",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Estrada, CRNA
• Roy M. Evans, L.C.S.W.
• Stephanie Evans
• Evergreen Glenhaven Operations, LLC
• Kaycee Eyers, FNP
• Amy Elizabeth Fahnestock
• Fairview Heights Medical Group SC (Family Physicians Of Alton)
• Fairview Heights Medical Group SC (Human Motion Institute)
• Fairview Heights Medical Group SC (Alton Internal Medicine)
• Fairview Heights Medical Group SC (Family Physicians of Alton)

• Chiropractor in Alton, IL
• Providers in Alton, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.