Organization Active NPI

Community Chiropractic Clinic SC

Doing business as Meridian Chiropractic and Acupuncture

  • Chiropractor
  • Rock Island, IL
National Provider Identifier
1851620728
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011297 Issued in IL
Legal business name
COMMUNITY CHIROPRACTIC CLINIC SC
Doing business as
Meridian Chiropractic and Acupuncture
Practice address
2508 25TH St Ste C
Rock Island, IL 61201-5419
Phone
(309) 283-7316
Fax
(309) 283-7315
NPI assigned
Dec 23, 2009
Last updated
Sep 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Dr. Angel K Hong, DC
Title
Owner
Phone
(309) 283-7316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011297 IL Primary

Addresses

Primary practice location

2508 25TH St Ste C
Rock Island, IL 61201-5419

Mailing address

2508 25TH St Ste C
Rock Island, IL 61201-5419
Phone (309) 283-7316

Other names 1

  • Meridian Chiropractic and Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

2508 25th St
Ste C
Rock Island, IL 61201
Phone (309) 283-7316

Practitioners & affiliated clinicians

Practitioners 1

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": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1851620728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 25TH ST STE C",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015419",
            "telephone_number": "309-283-7316",
            "fax_number": "309-283-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 25TH ST STE C",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015419",
            "telephone_number": "309-283-7316",
            "fax_number": "309-283-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHIROPRACTIC CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-283-7316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Chiropractic and Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.