Underwood Chiropractic L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011164 Issued in IL

Legal business name

UNDERWOOD CHIROPRACTIC L.L.C.

Practice address

787 Sunset Blvd
Suite 200
O Fallon, IL 62269-1960

Phone

(618) 624-2400

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Scott Robert Underwood, D.C.NPI 1508033960

Title

Owner

Phone

(618) 624-2400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Scott Robert Underwood, D.C.

  • Chiropractor
  • O Fallon, IL
  • NPI 1508033960
  Medicare reassignment NPD Authorized official
• Katherine Bradley, ATC

  • Athletic Trainer
  • O Fallon, IL
  • NPI 1073104881
  NPD

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1679730568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 SUNSET BLVD",
            "address_2": "SUITE 200",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691960",
            "telephone_number": "618-624-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 SUNSET BLVD",
            "address_2": "SUITE 200",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691960",
            "telephone_number": "618-624-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERWOOD CHIROPRACTIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-624-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Turner, LCPC
• Emma Tuttle, RBT
• Dezmauri Tyler
• Randi R Tyler, D.C.
• Christina Unangst, RBT
• Lynn Sewester Underwood, MA, LCPC
• Scott Robert Underwood, D.C.
• United Surgical Institiute, PLLC
• Untangled Minds PLLC
• Upcare LLC

• Chiropractor in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.