Organization Active NPI

Align Services Bloomington PLLC

  • Chiropractor
  • Bloomington, IL
National Provider Identifier
1770197774
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALIGN SERVICES BLOOMINGTON PLLC
Practice address
2309 E Empire St Ste 200a
Bloomington, IL 61704-8636
Phone
(309) 807-1313
NPI assigned
Sep 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Authorized official

Name
Dr. Clifford Joseph Fisher, DC
Title
Director of Clinic
Phone
(775) 843-6098

Specialties & licenses 1

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

Addresses

Primary practice location

2309 E Empire St Ste 200a
Bloomington, IL 61704-8636

Mailing address

4812 N Sheridan Rd Ste A700
Peoria, IL 61614-5997
Phone (309) 807-4439

National Provider Directory

National Provider Directory

Locations

2309 E Empire St
Ste 200A
Bloomington, IL 61704
Phone (309) 807-1313

4812 N Sheridan Rd
Ste A700
Peoria, IL 61614

NPI Registry JSON

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1770197774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 N SHERIDAN RD STE A700",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145997",
            "telephone_number": "309-807-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 E EMPIRE ST STE 200A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048636",
            "telephone_number": "309-807-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN SERVICES BLOOMINGTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC",
        "authorized_official_telephone_number": "775-843-6098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; 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.