NPIMap

Organization Active NPI

Elite Chiropractic LLC

  • Chiropractor
  • O Fallon, IL
National Provider Identifier
1639355175
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELITE CHIROPRACTIC LLC
Practice address
9 Eagle Ctr
Ste. 1
O Fallon, IL 62269-1948
Phone
(618) 628-9200
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Sean M Toner, D.C.
Title
Operating Manager
Phone
(618) 628-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

9 Eagle Ctr
Ste. 1
O Fallon, IL 62269-1948

Mailing address

9 Eagle Ctr
Ste. 1
O Fallon, IL 62269-1948
Phone (618) 628-9200

National Provider Directory

National Provider Directory

Locations

9 Eagle Ctr
Ste 1
O Fallon, IL 62269
Phone (208) 539-4560

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1639355175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EAGLE CTR",
            "address_2": "STE. 1",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691948",
            "telephone_number": "618-628-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EAGLE CTR",
            "address_2": "STE. 1",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691948",
            "telephone_number": "618-628-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "TONER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "618-628-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.