Kaesberg Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KAESBERG CHIROPRACTIC CLINIC PC

Practice address

100 Mascoutah Ave
Belleville, IL 62220-3801

Phone

(618) 233-6824

NPI assigned

Nov 19, 2006

Last updated

Apr 10, 2015By 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. James Jay White, D.C.

Title

Secretary

Phone

(618) 233-6824

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1790859148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MASCOUTAH AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203801",
            "telephone_number": "618-233-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MASCOUTAH AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203801",
            "telephone_number": "618-233-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAESBERG CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-19",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "618-233-6824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy John Jung, M.D.
• Haley Erin Junge, APN
• Beth Alison Junker
• Carol M Kadonsky, NP-C
• Kendra P Kaesbereg, D.C.
• Karsyn Brin Kaiser
• Emily Ruth Kalaman
• Kaleidoscope Heart Counseling, LLC
• Miranda Kalish, PA
• Prasad V Kandula, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.