Active NPI
Richie Chiropractic PC
- Chiropractor
- Springfield, IL
National Provider Identifier
1639189178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038008580
- Legal business name
- RICHIE CHIROPRACTIC PC
- Practice address
- 2205 Wabash Ave
Suite 107
Springfield, IL 62704-5354 - Phone
- (217) 698-1311
- Fax
- (217) 698-7504
- NPI assigned
- Aug 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Loren Williams Richie, DC
- Title
- President
- Phone
- (217) 698-1311
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038008580 | IL | Primary |
| Physical Therapist | 225100000X | 070014190 | IL |
Addresses
Primary practice location
2205 Wabash Ave
Suite 107
Springfield, IL 62704-5354
Mailing address
2205 Wabash Ave
Suite 107
Springfield, IL 62704-5354
Phone (217) 698-1311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF1837 | Other | IL | RAILROAD MEDICARE |
| 0008432155 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
3131 Robbins Rd
Springfield, IL 62704
Phone (217) 698-1311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1639189178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 WABASH AVE",
"address_2": "SUITE 107",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627045354",
"telephone_number": "217-698-1311",
"fax_number": "217-698-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 WABASH AVE",
"address_2": "SUITE 107",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627045354",
"telephone_number": "217-698-1311",
"fax_number": "217-698-7504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHIE CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "RICHIE",
"authorized_official_first_name": "LOREN",
"authorized_official_middle_name": "WILLIAMS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "217-698-1311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038008580",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": "070014190",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF1837",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0008432155",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.