Organization Active NPI

The Spinal Decompression Center

  • Chiropractor
  • Carlinville, IL
National Provider Identifier
1679707236
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010013 Issued in IL
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

Updated by the provider on May 12, 2009

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.NPI 1780684233
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.