Organization Active NPI

Family Chiropractic Clinic of Viola, PC

  • Health Service Clinic/Center
  • Aledo, IL
National Provider Identifier
1881907368
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
038-006482 Issued in IL
Legal business name
FAMILY CHIROPRACTIC CLINIC OF VIOLA, PC
Practice address
606 SW 3Rd St
Aledo, IL 61231-1808
Phone
(309) 582-3326
Fax
(309) 582-3326
NPI assigned
Jul 26, 2010
Last updated
Jul 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Dean Herrin, D.C.NPI 1013906726
Title
President
Phone
(309) 582-3326

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
Health Service Clinic/Center 261QH0100X 038-006482 IL Primary

Addresses

Primary practice location

606 SW 3Rd St
Aledo, IL 61231-1808

Mailing address

PO Box 22
Aledo, IL 61231-0022
Phone (309) 582-3326

Other identifiers 1

IdentifierTypeStateIssuer
350040641OtherILRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

606 SW 3rd St
Aledo, IL 61231
Phone (309) 582-3326

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1881907368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612310022",
            "telephone_number": "309-582-3326",
            "fax_number": "309-582-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SW 3RD ST",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311808",
            "telephone_number": "309-582-3326",
            "fax_number": "309-582-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CLINIC OF VIOLA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "HERRIN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-582-3326",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "038-006482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350040641",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aledo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.