NPIMap

Organization Active NPI

Elemental Chiropractic Inc

  • Chiropractor
  • Addison, IL
National Provider Identifier
1871956417
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012564 Issued in IL
Legal business name
ELEMENTAL CHIROPRACTIC INC
Practice address
1449 W Lake St
Suite B
Addison, IL 60101-1869
Phone
(260) 415-8357
NPI assigned
Mar 31, 2016
Last updated
Mar 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Dr. Lauren Keller, DCNPI 1851712327
Title
President
Phone
(260) 415-8357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.012564 IL Primary

Addresses

Primary practice location

1449 W Lake St
Suite B
Addison, IL 60101-1869

Mailing address

4N109 Robbie LN
Addison, IL 60101-1409
Phone (260) 415-8357

National Provider Directory

National Provider Directory

Locations

1449 W Lake St
Ste B
Addison, IL 60101
Phone (260) 415-8357

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": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1871956417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4N109 ROBBIE LN",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011409",
            "telephone_number": "260-415-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 W LAKE ST",
            "address_2": "SUITE B",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011869",
            "telephone_number": "260-415-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-415-8357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.