NPIMap

Organization Active NPI

Severns Family Chiropractic, LLC

  • Clinic/Center
  • O Fallon, IL
National Provider Identifier
1801172168
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
038.011937 Issued in IL
Legal business name
SEVERNS FAMILY CHIROPRACTIC, LLC
Practice address
635 W US Highway 50
O Fallon, IL 62269-1941
Phone
(618) 624-3600
Fax
(888) 886-3168
NPI assigned
Oct 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Dr. Shelly A Severns
Title
Doctor
Phone
(618) 624-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 038.011937 IL Primary

Addresses

Primary practice location

635 W US Highway 50
O Fallon, IL 62269-1941

Mailing address

635 West US Highway 50
O'Fallon, IL 62269-1941
Phone (618) 624-3600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1801172168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 WEST US HIGHWAY 50",
            "city": "O'FALLON",
            "state": "IL",
            "postal_code": "622691941",
            "telephone_number": "618-624-3600",
            "fax_number": "888-886-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W US HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691941",
            "telephone_number": "618-624-3600",
            "fax_number": "888-886-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVERNS FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "SEVERNS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "618-624-3600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038.011937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.