Carbondale Family Chiropractic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

038012019 Issued in IL

Legal business name

CARBONDALE FAMILY CHIROPRACTIC LLC

Practice address

695 N Giant City Rd
Suite 2
Carbondale, IL 62902-6405

Phone

(618) 967-9494

NPI assigned

Sep 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David Binversie, D.C.NPI 1083996268

Title

Owner

Phone

(618) 967-9494

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David William Binversie, D.C.

  • Chiropractor
  • Carbondale, IL
  • NPI 1083996268
  NPD (past) Authorized official

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1902188857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 FISHBACK RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629016325",
            "telephone_number": "618-967-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N GIANT CITY RD",
            "address_2": "SUITE 2",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629026405",
            "telephone_number": "618-967-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBONDALE FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "BINVERSIE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-967-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "038012019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sue Campos, FNP-BC, CCRN, CMC
• Martha Cantrell, LPN
• Carbondale Community High
• Carbondale Elem SCH Dist 95
• Carbondale Elem School
• Carbondale Family Medicine,LLC
• Carbondale HS Distraict 165
• Carbondale Rehabilitation and Nursing Center II LLC
• Carbondale Rehabilitation and Nursing Center, LLC
• Carbondale Rural Health Clinic

• Primary Care Clinic/Center in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.