Organization Active NPI

American Spine Center LTD.

  • Chiropractor
  • Belleville, IL
National Provider Identifier
1609940055
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AMERICAN SPINE CENTER LTD.
Practice address
100 Mascoutah Ave
Belleville, IL 62220-3801
Phone
(618) 233-6824
NPI assigned
Nov 19, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. James Jay White, D.C.
Title
Secretary
Phone
(618) 233-6824

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

100 Mascoutah Ave
Belleville, IL 62220
Phone (618) 233-6824

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

100 Mascoutah Ave
Belleville, IL 62220-3801

Mailing address

100 Mascoutah Ave
Belleville, IL 62220-3801
Phone (618) 233-6824

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1163894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609940055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MASCOUTAH AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203801",
            "telephone_number": "618-233-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MASCOUTAH AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203801",
            "telephone_number": "618-233-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SPINE CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "618-233-6824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.