Haynes Family Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HAYNES FAMILY CHIROPRACTIC, INC.

Practice address

2886 W Willow Knolls Dr
Peoria, IL 61614-1102

Phone

(309) 839-8238

NPI assigned

Jan 29, 2014

Last updated

Jan 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Joseph Haynes, D.C.NPI 1639444367

Title

Secretary

Phone

(309) 839-8238

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Kyle Joseph Haynes, D.C.

  • Chiropractor
  • Missoula, MT
  • NPI 1639444367

  IL

  Medicare reassignment NPD Authorized official
• Christine Ann Haynes, D.C.

  • Chiropractor
  • Missoula, MT
  • NPI 1356607899

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1619390564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 W WILLOW KNOLLS DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2886 W WILLOW KNOLLS DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141102",
            "telephone_number": "309-839-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNES FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "309-839-8238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann N Hayes, LCPC
• Evelyn Hayes
• Michael L Hayes, D.O.
• Michael P Hayes
• Stephanie M Hayes, PT
• Julie Haynes, RPH
• Alfred Otis Hazzard Jr., PHARMD
• HBH Caring Hands, Inc.
• Leah Heagy
• Michelle Heal

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.