Active NPI
Charles J Carlin, D.C
- Chiropractor
- Morton, IL
National Provider Identifier
1891094694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012090
- Practice address
- 831 W Jackson Plaza
Morton, IL 61550-1569 - Phone
- (309) 263-5698
- Fax
- (309) 263-5697
- NPI assigned
- Mar 18, 2011
- Last updated
- Jun 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.012090 | IL | Primary |
Addresses
Primary practice location
831 W Jackson Plaza
Morton, IL 61550-1569
Mailing address
831 W Jackson Plaza
Morton, IL 61550-1569
Phone (309) 263-5698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
831 W Jackson St
Morton, IL 61550-1569
Phone (309) 263-5698
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.012090 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walton CS-Xvi PC | Chiropractor | Current | Accepting new patients |
| Chris Bradley Wigton DC PC | Chiropractor | Past | Accepting new patients |
Locations
831 W Jackson St
Morton, IL 61550
Phone (309) 263-5698
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Franklin, PA
- NPI 1710939921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338768000000",
"number": "1891094694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 W JACKSON PLAZA",
"city": "MORTON",
"state": "IL",
"postal_code": "615501569",
"telephone_number": "309-263-5698",
"fax_number": "309-263-5697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 W JACKSON PLAZA",
"city": "MORTON",
"state": "IL",
"postal_code": "615501569",
"telephone_number": "309-263-5698",
"fax_number": "309-263-5697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLIN",
"first_name": "CHARLES",
"middle_name": "J",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-18",
"last_updated": "2012-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.