Organization Active NPI

Martinsville Family Chiropractic Clinic LTD

  • Chiropractor
  • Martinsville, IL
National Provider Identifier
1790921674
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-003308 Issued in IL
Legal business name
MARTINSVILLE FAMILY CHIROPRACTIC CLINIC LTD
Practice address
990 Ridgelawn Rd
Martinsville, IL 62442
Phone
(217) 382-1154
NPI assigned
Dec 26, 2008
Last updated
Jun 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Authorized official

Name
Robert Arnold Hoagland
Title
Chiropractor
Phone
(618) 562-0145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-003308 IL Primary

Addresses

Primary practice location

990 Ridgelawn Rd
Martinsville, IL 62442

Mailing address

990 Ridgelawn Rd
Martinsville, IL 62442
Phone (217) 382-1154

Other names 1

  • Martinsville Family Chiropractic Clinic Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1790921674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 RIDGELAWN RD",
            "city": "MARTINSVILLE",
            "state": "IL",
            "postal_code": "62442",
            "telephone_number": "217-382-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 RIDGELAWN RD",
            "city": "MARTINSVILLE",
            "state": "IL",
            "postal_code": "62442",
            "telephone_number": "217-382-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSVILLE FAMILY CHIROPRACTIC CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-26",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "HOAGLAND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "618-562-0145"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-003308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martinsville Family Chiropractic Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Martinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.