Active NPI
The Spinal Decompression Center
- Chiropractor
- Carlinville, IL
National Provider Identifier
1679707236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038010013
- Legal business name
- THE SPINAL DECOMPRESSION CENTER
- Practice address
- 130 Carlinville PLZ
Carlinville, IL 62626-1191 - Phone
- (217) 854-9333
- Fax
- (217) 854-3440
- NPI assigned
- May 12, 2009
- 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
- Mr. Craig Andrew Tiburzi, D.C.
- Title
- Partner
- Phone
- (217) 854-9333
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038010013 | IL | Primary |
Addresses
Primary practice location
130 Carlinville PLZ
Carlinville, IL 62626-1191
Mailing address
130 Carlinville PLZ
Carlinville, IL 62626-1191
Phone (217) 854-9333
National Provider Directory
National Provider DirectoryLocations
130 Carlinville Plz
Carlinville, IL 62626
Phone (217) 854-8001
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Carlinville, IL
- NPI 1780684233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242086400000",
"number": "1679707236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 CARLINVILLE PLZ",
"city": "CARLINVILLE",
"state": "IL",
"postal_code": "626261191",
"telephone_number": "217-854-9333",
"fax_number": "217-854-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CARLINVILLE PLZ",
"city": "CARLINVILLE",
"state": "IL",
"postal_code": "626261191",
"telephone_number": "217-854-9333",
"fax_number": "217-854-3440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SPINAL DECOMPRESSION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-12",
"last_updated": "2009-05-12",
"status": "A",
"authorized_official_last_name": "TIBURZI",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "217-854-9333",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038010013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlinville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.