Active NPI
Robert E Middleton Jr., DC
- Nutrition Chiropractor
- Arcola, IL
National Provider Identifier
1740276336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 038-006866
- Practice address
- 212 E Main St
Arcola, IL 61910-1416 - Phone
- (217) 268-4743
- Fax
- (217) 268-4743
- NPI assigned
- Sep 20, 2005
- Last updated
- Jul 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 038-006866 | IL | Primary |
Addresses
Primary practice location
212 E Main St
Arcola, IL 61910-1416
Mailing address
212 E Main St
PO Box 18
Arcola, IL 61910-1416
Phone (217) 268-4743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101104000329 | IL | Practitioner - Chiropractic | 6305030230 | Practice locations: Arcola, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
253 W Springfield Rd
Arcola, IL 61910-1202
Phone (217) 208-6476
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-006866 | IL | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1740276336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E MAIN ST",
"address_2": "PO BOX 18",
"city": "ARCOLA",
"state": "IL",
"postal_code": "619101416",
"telephone_number": "217-268-4743",
"fax_number": "217-268-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E MAIN ST",
"city": "ARCOLA",
"state": "IL",
"postal_code": "619101416",
"telephone_number": "217-268-4743",
"fax_number": "217-268-4743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "ROBERT",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "IL",
"license": "038-006866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcola, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.