Individual provider Active NPI

John Charles Curry, D.C.

  • Chiropractor
  • Petersburg, IL
National Provider Identifier
1811385180
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012758 Issued in IL
Practice address
13936 State Highway 97
Petersburg, IL 62675-6018
Phone
(217) 502-1181
Fax
(844) 881-1788
NPI assigned
Jan 8, 2015
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012758 IL Primary

Addresses

Primary practice location

13936 State Highway 97
Petersburg, IL 62675-6018

Mailing address

13936 State Highway 97
Petersburg, IL 62675-6018
Phone (217) 502-1181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150122001811 IL Practitioner - Chiropractic 1052635067 Reassigns benefits to 1 organization
Practice locations: Petersburg, IL; Springfield, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Curry ChiropracticGroup PAC ID 8729466610, 2 clinicians

Practice addresses (Care Compare)

2536 Farragut Dr
Springfield, IL 62704-1540
Phone (217) 502-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curry Chiropractic Chiropractor CurrentSince Jan 1, 2017 Accepting new patients
Petersburg Spine & Sport Inc Chiropractor PastSince Feb 13, 2009 Accepting new patients

Locations

13936 State Highway 97
Petersburg, IL 62675
Phone (217) 502-1181

2536 Farragut Dr
Springfield, IL 62704
Phone (217) 502-1181

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1811385180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13936 STATE HIGHWAY 97",
            "city": "PETERSBURG",
            "state": "IL",
            "postal_code": "626756018",
            "telephone_number": "217-502-1181",
            "fax_number": "844-881-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13936 STATE HIGHWAY 97",
            "city": "PETERSBURG",
            "state": "IL",
            "postal_code": "626756018",
            "telephone_number": "217-502-1181",
            "fax_number": "844-881-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURRY",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-08",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.