Mestdagh Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MESTDAGH CHIROPRACTIC CORP

Practice address

1550 N Main St
Columbia, IL 62236-1070

Phone

(618) 281-6167

Fax

(618) 281-4444

NPI assigned

Jan 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Laurie Robert Mestdagh, D.C.

Title

President

Phone

(618) 281-6167

Specialties & licenses 1

Addresses

Other names 1

• Columbia Chiropractic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathaniel Charles Holloway, D.C.

  • Chiropractor
  • Columbia, IL
  • NPI 1649714064
  NPD

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1801192554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361070",
            "telephone_number": "618-281-6167",
            "fax_number": "618-281-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361070",
            "telephone_number": "618-281-6167",
            "fax_number": "618-281-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESTDAGH CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "MESTDAGH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-281-6167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Faun McConachie, FNP-C
• Mindy Renee McFarland, M.O.T.
• Katharine Marie McGinnis, D.M.D.
• Danielle Paige Melnek, NP-C
• Mercy Clinic Illinois, LLC
• Laurie Robert Mestdagh, DC
• Lisa Schorb Meyer, PT
• Kati Michalas, LCPC
• Midwest Vision Care of Columbia LLC
• Midwest Vision Care of Illinois LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.