Salt Creek Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SALT CREEK CHIROPRACTIC LLC

Practice address

419 Broadway St
Lincoln, IL 62656-2019

Phone

(217) 735-2527

NPI assigned

Nov 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Beth Johnson Hollenbeck, D.C.

Title

Chiropractor

Phone

(217) 735-2527

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Beth M Johnson, DC

  • Chiropractor
  • Lincoln, IL
  • NPI 1063422681
  Medicare reassignment NPD

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1831426808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 BROADWAY ST",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626562019",
            "telephone_number": "217-735-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 BROADWAY ST",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626562019",
            "telephone_number": "217-735-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT CREEK CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "HOLLENBECK",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "217-735-2527",
        "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": []
}

• Caleb Thomas Romm, LPC
• Sydney L Rosacker, APN
• Kevin Rosborough, PMHNP
• Rose Lange Counseling, PLLC
• Carol Runyon, CRNA
• Nicole Renee Schaffenacker, RPH
• Alyssa Joy Schmidt, PTA
• Jessica L. Schnebly, NP
• Schneider Chiropractic, LLC
• Alyssa J Schneider, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.