Organization Active NPI

Plainfield Chiropractic and Rehabilitation, LTD

  • Chiropractor
  • Plainfield, IL
National Provider Identifier
1841641107
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012972 Issued in IL
Legal business name
PLAINFIELD CHIROPRACTIC AND REHABILITATION, LTD
Practice address
13520 S Route 59
Unit 100
Plainfield, IL 60544-5545
Phone
(815) 439-9800
NPI assigned
Jun 28, 2016
Last updated
Jul 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Sandy Hill
Title
Credentialing
Phone
(502) 962-2277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012972 IL Primary

Addresses

Primary practice location

13520 S Route 59
Unit 100
Plainfield, IL 60544-5545

Mailing address

13520 S Route 59
Unit 100
Plainfield, IL 60544-5545
Phone (815) 439-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160921002278 IL Part B Supplier - Clinic/Group Practice 1254628027 Receives reassigned benefits from 1 practitioner
Practice locations: Plainfield, IL

National Provider Directory

National Provider Directory

Locations

13520 S Route 59
Ste 100
Plainfield, IL 60544
Phone (615) 871-9000

Practitioners & affiliated clinicians

Practitioners 3

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": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1841641107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13520 S ROUTE 59",
            "address_2": "UNIT 100",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445545",
            "telephone_number": "815-439-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13520 S ROUTE 59",
            "address_2": "UNIT 100",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445545",
            "telephone_number": "815-439-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINFIELD CHIROPRACTIC AND REHABILITATION, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "502-962-2277"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.