Individual provider Active NPI

Caitlin Jean Besand, DC

  • Chiropractor
  • Shiloh, IL
National Provider Identifier
1689325102
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2021050934 Issued in MO
Practice address
1231 Thouvenot LN
Shiloh, IL 62269-7203
Phone
(618) 234-8300
NPI assigned
Jan 17, 2022
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2021050934 MO Primary

Addresses

Primary practice location

1231 Thouvenot LN
Shiloh, IL 62269-7203

Mailing address

1231 Thouvenot LN
Shiloh, IL 62269-7203
Phone (816) 234-8300

Other identifiers 1

IdentifierTypeStateIssuer
W133319003OtherMOLICENSE

Other names 1

  • Caitlin Jean Worsham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220217000887 MO Practitioner - Chiropractic 4385037241 Reassigns benefits to 1 organization
I20220224001611 IL Practitioner - Chiropractic 4385037241 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Chiropractic, P.C.Group PAC ID 9638219405, 4 clinicians

Practice addresses (Care Compare)

101 Richardson Xing
Arnold, MO 63010-6006
Phone (636) 464-8360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021050934MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shiloh Chiropractic, LLC Chiropractor CurrentSince Jan 28, 2022 Accepting new patients
Proactive Chiropractic, P.C. Chiropractor CurrentSince Oct 28, 2024 Accepting new patients
Chiropro of Glened LLC Dba Chiropro of Troy Chiropractor CurrentSince Jan 28, 2022 Accepting new patients
Chiropro of Highland, LLC Chiropractor CurrentSince Jan 28, 2022 Accepting new patients
Chiropro of Columbia, LLC Chiropractor CurrentSince Jan 28, 2022 Accepting new patients
Back on Track Eureka, LLC Chiropractor PastSince May 11, 2025 Accepting new patients

Locations

1005 S Main St
Ste A
Columbia, IL 62236
Phone (618) 234-8300

1231 Thouvenot Ln
Ste 100
Shiloh, IL 62269
Phone (618) 234-8300

220 E US Highway 40
Troy, IL 62294
Phone (618) 667-1200

101 Richardson Xing
Arnold, MO 63010
Phone (636) 464-8360

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1689325102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 THOUVENOT LN",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697203",
            "telephone_number": "816-234-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 THOUVENOT LN",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697203",
            "telephone_number": "618-234-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESAND",
        "first_name": "CAITLIN",
        "middle_name": "JEAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021050934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "W133319003",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "WORSHAM",
            "middle_name": "JEAN",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shiloh, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.