Bushnell Chiropractic Center SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BUSHNELL CHIROPRACTIC CENTER SC

Practice address

448 Cole St
Bushnell, IL 61422-1540

Phone

(309) 772-2317

Fax

(309) 772-2317

NPI assigned

Apr 2, 2007

Last updated

Oct 17, 2007By 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. Kristopher Wade Wakefield, DCNPI 1154356285

Title

Owner

Phone

(309) 772-2317

Specialties & licenses 1

Addresses

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.

• Kristopher Wade Wakefield, D.C.

  • Chiropractor
  • Bushnell, IL
  • NPI 1154356285
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1790806636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 COLE ST",
            "city": "BUSHNELL",
            "state": "IL",
            "postal_code": "614221540",
            "telephone_number": "309-772-2317",
            "fax_number": "309-772-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 COLE ST",
            "city": "BUSHNELL",
            "state": "IL",
            "postal_code": "614221540",
            "telephone_number": "309-772-2317",
            "fax_number": "309-772-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSHNELL CHIROPRACTIC CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-772-2317",
        "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": []
}

• John M Arnold, M.D.
• Axline's Inc. (Axline Pharmacy (08))
• David A Balfour, OD
• Amy Becker Struhs, SCHOOL PSYCHOLOGIST
• Kyle Aaron Brewer, FNP-C
• Bushnell Dental
• Bushnell Family Dentistry
• Bushnell Family Practice, SC
• Bushnell Prairie City Cusd 170
• David Balfour, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.