Active NPI
Andreas Chiropractic, P.C.
- Chiropractor
- Troy, IL
National Provider Identifier
1730201716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 060.008479
- 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
- Organization subpart
- No
NPPES NPI Registry
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.
- Title
- President
- Phone
- (618) 667-1670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 477681 | Other | IL | HEALTHLINK ID# |
| POO107103 | Other | IL | RAILROAD MEDICARE# |
| 06032046 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
503 Buckeye Dr
Ste 130
Troy, IL 62294
Phone (618) 667-1670
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK ID#",
"identifier": "477681",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE#",
"identifier": "POO107103",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "06032046",
"state": "IL"
}
],
"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.