Individual provider Active NPI

Michelle L. Franklin, D.C.

  • Chiropractor
  • Coal Valley, IL
National Provider Identifier
1790874568
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009164 Issued in IL
Practice address
102 W 1St Ave
Coal Valley, IL 61240-9308
Phone
(309) 799-7422
Fax
(309) 799-7401
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009164 IL Primary
Chiropractor 111N00000X 06313 IA

Addresses

Primary practice location

102 W 1St Ave
Coal Valley, IL 61240-9308

Mailing address

102 W 1St Ave
Coal Valley, IL 61240-9308
Phone (309) 799-7422

Other identifiers 1

IdentifierTypeStateIssuer
038009164MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000277 IL Practitioner - Chiropractic 1456314103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

102 W 1St Ave
Coal Valley, IL 61240-9308
Phone (309) 799-7422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06313IAMDChiropractor
038009164ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coal Valley Chiropractic Clinic, Inc. Chiropractor CurrentSince Oct 1, 2000 Accepting new patients

Locations

201 W 2nd Ave
Coal Valley, IL 61240
Phone (309) 799-7422

102 W 1st Ave
Coal Valley, IL 61240
Phone (309) 799-7422

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1790874568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 1ST AVE",
            "city": "COAL VALLEY",
            "state": "IL",
            "postal_code": "612409308",
            "telephone_number": "309-799-7422",
            "fax_number": "309-799-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 1ST AVE",
            "city": "COAL VALLEY",
            "state": "IL",
            "postal_code": "612409308",
            "telephone_number": "309-799-7422",
            "fax_number": "309-799-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "MICHELLE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009164",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038009164",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal Valley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.