Organization Active NPI

Complete Chiropractic and Wellness Center LTD

  • Chiropractor
  • Joliet, IL
National Provider Identifier
1881904290
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011759 Issued in IL
Legal business name
COMPLETE CHIROPRACTIC AND WELLNESS CENTER LTD
Practice address
1226 Plainfield Rd
Joliet, IL 60435-4024
Phone
(815) 729-2490
Fax
(815) 729-2151
NPI assigned
Oct 19, 2010
Last updated
Dec 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Timothy Alexander Skaggs, DCNPI 1659689453
Title
Dr
Phone
(815) 729-2490

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
Chiropractor 111N00000X 038011759 IL Primary

Addresses

Primary practice location

1226 Plainfield Rd
Joliet, IL 60435-4024

Mailing address

1226 Plainfield Rd
Joliet, IL 60435-4024

National Provider Directory

National Provider Directory

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": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1881904290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 PLAINFIELD RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604354024",
            "fax_number": "815-729-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 PLAINFIELD RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604354024",
            "telephone_number": "815-729-2490",
            "fax_number": "815-729-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CHIROPRACTIC AND WELLNESS CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "815-729-2490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.