NPIMap

Organization Active NPI

Dr Dan Khampraseut

Doing business as St Clair County Chiropractic & Rehab

  • Chiropractor
  • Belleville, IL
National Provider Identifier
1740454065
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR DAN KHAMPRASEUT
Doing business as
St Clair County Chiropractic & Rehab
Practice address
3620A N Belt W
Belleville, IL 62226-5947
Phone
(618) 233-3324
Fax
(618) 233-4758
NPI assigned
Apr 17, 2008
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Dan Khampraseut, DCNPI 1881620102
Title
Physician
Phone
(618) 233-3324

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
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

3620A N Belt W
Belleville, IL 62226-5947

Mailing address

3620A N Belt W
Belleville, IL 62226-5947
Phone (618) 233-3324

Other identifiers 2

IdentifierTypeStateIssuer
08009696MedicaidIL
8232072OtherILBCBS-IL

Other names 1

  • St Clair County Chiropractic & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

3620A N Belt W
Belleville, IL 62226
Phone (618) 233-3324

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": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1740454065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620A N BELT W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265947",
            "telephone_number": "618-233-3324",
            "fax_number": "618-233-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620A N BELT W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265947",
            "telephone_number": "618-233-3324",
            "fax_number": "618-233-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DAN KHAMPRASEUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "KHAMPRASEUT",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "618-233-3324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08009696",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-IL",
            "identifier": "8232072",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Clair County Chiropractic & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.