Active NPI
John Thomas Garrison, DC CHIROPRACTOR
- Chiropractor
- Peoria, IL
National Provider Identifier
1831207133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 511 W Lake
Peoria, IL 61614 - Phone
- (309) 682-2840
- Fax
- (309) 682-2569
- NPI assigned
- Aug 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
511 W Lake
Peoria, IL 61614
Mailing address
511 W Lake
Peoria, IL 61614
Phone (309) 682-2840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110110000020 | IL | Practitioner - Chiropractic | 8123217973 | Practice locations: Peoria, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
511 W Lake
Peoria, IL 61614
511 W Lake Ave
Peoria, IL 61614-6020
Phone (309) 682-2840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038004278 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831207133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 W LAKE",
"city": "PEORIA",
"state": "IL",
"postal_code": "61614",
"telephone_number": "309-682-2840",
"fax_number": "309-682-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 W LAKE",
"city": "PEORIA",
"state": "IL",
"postal_code": "61614",
"telephone_number": "309-682-2840",
"fax_number": "309-682-2569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "DC CHIROPRACTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.