NPIMap

Organization Active NPI

Andreas Chiropractic, P.C.

  • Chiropractor
  • Troy, IL
National Provider Identifier
1730201716
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
060.008479 Issued in IL
Legal business name
ANDREAS CHIROPRACTIC, P.C.
Practice address
503 Buckeye Dr
Ste 130
Troy, IL 62294-2347
Phone
(618) 667-1670
Fax
(618) 667-1671
NPI assigned
Apr 3, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Bryan Michael Andreas, D.C.NPI 1629122809
Title
President
Phone
(618) 667-1670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 060.008479 IL Primary

Addresses

Primary practice location

503 Buckeye Dr
Ste 130
Troy, IL 62294-2347

Mailing address

503 Buckeye Dr
Ste 130
Troy, IL 62294-2347
Phone (618) 667-1670

National Provider Directory

National Provider Directory

Locations

503 Buckeye Dr
Ste 130
Troy, IL 62294
Phone (618) 667-1670

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1730201716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 BUCKEYE DR",
            "address_2": "STE 130",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942347",
            "telephone_number": "618-667-1670",
            "fax_number": "618-667-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 BUCKEYE DR",
            "address_2": "STE 130",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942347",
            "telephone_number": "618-667-1670",
            "fax_number": "618-667-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREAS CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ANDREAS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-667-1670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "060.008479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.