Troy Pain Relief Center LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-007911 Issued in IL

Legal business name

TROY PAIN RELIEF CENTER LTD

Practice address

805 Lions Dr
Troy, IL 62294-2440

Phone

(618) 667-0600

Fax

(618) 667-8189

NPI assigned

Oct 9, 2006

Last updated

Feb 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Allen Berg, D.C.NPI 1184642332

Title

Owner

Phone

(618) 667-0600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Michael Allen Berg, D.C.

  • Chiropractor
  • Troy, IL
  • NPI 1184642332
  Authorized official Same address or phone
• Arthur Langston, D.C.

  • Rehabilitation Chiropractor
  • Troy, IL
  • NPI 1275867236
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1871680009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622940360",
            "telephone_number": "618-667-0600",
            "fax_number": "618-667-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LIONS DR",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942440",
            "telephone_number": "618-667-0600",
            "fax_number": "618-667-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY PAIN RELIEF CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-667-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "208469",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee Marie Tiernan, DT
• Tracy Lewis, LCSW LLC
• Triad Comm Unit School Dist 2
• Troy Dental Associates LLC
• Troy Fire Protection District
• True Wellness LLC
• True Wellness Physical Therapy and Performance LLC
• Rita Tucker, N.P.
• Unger Eye Care PC
• Alice E Unger, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.