Clem Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009051 Issued in IL

Legal business name

CLEM CHIROPRACTIC CENTER

Practice address

412 W Jefferson St
Auburn, IL 62615-1425

Phone

(217) 438-6324

NPI assigned

Mar 15, 2007

Last updated

Apr 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Erick Clem, D.C.NPI 1871521203

Title

Owner

Phone

(217) 438-6324

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Illinois Spine Center SC

  dba Clem Chiropractic Center

  • Chiropractor
  • Springfield, IL
  • NPI 1124152699

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Erick Clem, D.C.

  • Thermography Chiropractor
  • Auburn, IL
  • NPI 1871521203
  Medicare reassignment NPD Authorized official
• Kyle Wayne Nevill, D.C.

  • Chiropractor
  • Springfield, IL
  • NPI 1952648362
  Medicare reassignment NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1689708489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W JEFFERSON ST",
            "city": "AUBURN",
            "state": "IL",
            "postal_code": "626151425",
            "telephone_number": "217-438-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W JEFFERSON ST",
            "city": "AUBURN",
            "state": "IL",
            "postal_code": "626151425",
            "telephone_number": "217-438-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEM CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "CLEM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-438-6324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8427806",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038-009051",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Bickel, CPHT
• Chelsea R Black, RDH
• Scott Borntreger, RPH
• Brandy Brown
• Clem Chiropractic Center
• Christopher Erick Clem, D.C.
• Melissa Anne Council, M.S, CCC-SLP
• Kimberly Danner, NP
• Delivering Smiles LTD (Auburn Dental Care)
• Gregory T Downs

• Chiropractor in Auburn, IL
• Providers in Auburn, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.