Creighton V Engel, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-003670 Issued in IL

Practice address

108 E Church St
Salem, IL 62881-3001

Phone

(618) 548-5255

Fax

(618) 548-4625

NPI assigned

Nov 2, 2006

Last updated

Nov 12, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1977

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Engel Chiropractic LTD.

  • Primary Care Clinic/Center
  • Salem, IL
  • NPI 1790050581
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1750460796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E CHURCH ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628813001",
            "telephone_number": "618-548-5255",
            "fax_number": "618-548-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E CHURCH ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628813001",
            "telephone_number": "618-548-5255",
            "fax_number": "618-548-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "CREIGHTON",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-003670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "6182006",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "038-003670",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "37-1392751",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anton John Dubrick, M.D.
• Catherine Durbin, APN
• Joseph Lee Easley, PNP
• Doris Ann Els, OD
• Engel Chiropractic LTD.
• Hannah Le Erbacher
• Tara Fleeman
• Tamara Dee Foltz, NP
• Allie Garner
• Julie Ardonia Gascon, PT

• Chiropractor in Salem, IL
• Providers in Salem, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.

Verify at the official NPI Registry.