Engel Chiropractic LTD.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

038.003670 Issued in IL

Legal business name

ENGEL CHIROPRACTIC LTD.

Practice address

108 E Church St
Salem, IL 62881-3001

Phone

(618) 548-5255

Fax

(618) 548-4625

NPI assigned

Mar 13, 2012

Last updated

Mar 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Creighton Engel, D.C.NPI 1750460796

Title

President

Phone

(618) 548-5255

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Creighton V Engel, D.C.

  • Chiropractor
  • Salem, IL
  • NPI 1750460796
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1790050581",
    "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": {
        "organization_name": "ENGEL CHIROPRACTIC LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "CREIGHTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-548-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "038.003670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0006182006",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doris Ann Osborne Els OD (Doris Ann Osborne OD)
• Anton John Dubrick, M.D.
• Catherine Durbin, APN
• Joseph Lee Easley, PNP
• Doris Ann Els, OD
• Creighton V Engel, D.C.
• Hannah Le Erbacher
• Tara Fleeman
• Tamara Dee Foltz, NP
• Allie Garner

• Primary Care Clinic/Center in Salem, IL
• Providers in Salem, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.