Organization Active NPI

Frisina Family Chiropractic, LTD.

  • Chiropractor
  • Springfield, IL
National Provider Identifier
1689826828
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009567 Issued in IL
Legal business name
FRISINA FAMILY CHIROPRACTIC, LTD.
Practice address
1533 S Macarthur Blvd
Springfield, IL 62704-3620
Phone
(217) 787-4345
Fax
(217) 787-4641
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Tana Kay Frisina, D.C.NPI 1821139452
Title
President
Phone
(217) 787-4345

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 038009567 IL Primary

Addresses

Primary practice location

1533 S Macarthur Blvd
Springfield, IL 62704-3620

Mailing address

1533 S Macarthur Blvd
Springfield, IL 62704-3620
Phone (217) 787-4345

Other names 1

  • Frisina Family Chiropractic Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081028000772 IL Part B Supplier - Clinic/Group Practice 8325106735 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, IL

National Provider Directory

National Provider Directory

Locations

1533 S MacArthur Blvd
Springfield, IL 62704
Phone (217) 787-4345

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": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1689826828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 S MACARTHUR BLVD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043620",
            "telephone_number": "217-787-4345",
            "fax_number": "217-787-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 S MACARTHUR BLVD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043620",
            "telephone_number": "217-787-4345",
            "fax_number": "217-787-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISINA FAMILY CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "FRISINA",
        "authorized_official_first_name": "TANA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-787-4345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frisina Family Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.