NPIMap

Organization Active NPI

Carlson Acupuncture and Chiropractice Clinic

  • Chiropractor
  • Sterling, IL
National Provider Identifier
1619247467
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.006543 Issued in IL
Legal business name
CARLSON ACUPUNCTURE AND CHIROPRACTICE CLINIC
Practice address
2317 E Lincolnway
Suite
Sterling, IL 61081-3059
Phone
(815) 622-2863
NPI assigned
Jan 11, 2012
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Steven E Carlson, DCNPI 1841462306
Title
Dr/Owner
Phone
(815) 622-2863

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.006543 IL Primary
Chiropractor 111N00000X 198.000118 IL

Addresses

Primary practice location

2317 E Lincolnway
Suite
Sterling, IL 61081-3059

Mailing address

2317 E Lincolnway
Suite
Sterling, IL 61081-3059
Phone (815) 622-2863

National Provider Directory

National Provider Directory

Locations

2317 E Lincolnway
Sterling, IL 61081
Phone (815) 622-2863

Practitioners & affiliated clinicians

Practitioners 1

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": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1619247467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 E LINCOLNWAY",
            "address_2": "SUITE",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610813059",
            "telephone_number": "815-622-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 E LINCOLNWAY",
            "address_2": "SUITE",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610813059",
            "telephone_number": "815-622-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSON ACUPUNCTURE AND CHIROPRACTICE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "815-622-2863",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.006543",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "198.000118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.