Organization Active NPI

Blair Family Chiropractic, LLC

  • Chiropractor
  • Columbia, IL
National Provider Identifier
1801952098
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BLAIR FAMILY CHIROPRACTIC, LLC
Practice address
207 N Main St
Suite 103
Columbia, IL 62236-1755
Phone
(618) 281-9202
Fax
(618) 281-9203
NPI assigned
Dec 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mary F Blair, D.C.NPI 1245396746
Title
President
Phone
(618) 281-9202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

207 N Main St
Suite 103
Columbia, IL 62236-1755

Mailing address

207 N Main St
Suite 103
Columbia, IL 62236-1755
Phone (618) 281-9202

Other identifiers 2

IdentifierTypeStateIssuer
0006732016OtherILBLUE CROSS BLUE SHIELD
224743OtherILGHP

National Provider Directory

National Provider Directory

Locations

207 N Main St
Ste 103
Columbia, IL 62236
Phone (618) 281-9202

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801952098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N MAIN ST",
            "address_2": "SUITE 103",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361755",
            "telephone_number": "618-281-9202",
            "fax_number": "618-281-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N MAIN ST",
            "address_2": "SUITE 103",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361755",
            "telephone_number": "618-281-9202",
            "fax_number": "618-281-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-281-9202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0006732016",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "224743",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.