Organization Active NPI

Richie Chiropractic PC

  • Chiropractor
  • Springfield, IL
National Provider Identifier
1639189178
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008580 Issued in IL
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

Updated by the provider on Jun 30, 2008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038008580 IL Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DF1837OtherILRAILROAD MEDICARE
0008432155OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.