NPIMap

Organization Active NPI

Lifespine Center Inc.

  • Chiropractor
  • Swansea, IL
National Provider Identifier
1902246283
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012217 Issued in IL
Legal business name
LIFESPINE CENTER INC.
Practice address
4956 Benchmark Centre Dr
Suite B
Swansea, IL 62226-7605
Phone
(618) 622-9770
Fax
(618) 622-9773
NPI assigned
Jul 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Dr. Jonathan Thomas Currier, D.C., M.S.NPI 1699021519
Title
Owner
Phone
(618) 622-9770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038012217 IL Primary

Addresses

Primary practice location

4956 Benchmark Centre Dr
Suite B
Swansea, IL 62226-7605

Mailing address

4956 Benchmark Centre Dr
Suite B
Swansea, IL 62226-7605
Phone (618) 622-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170502001428 IL Part B Supplier - Clinic/Group Practice 6709162357 Receives reassigned benefits from 1 practitioner
Practice locations: Swansea, IL

National Provider Directory

National Provider Directory

Locations

4956 Benchmark Centre Dr
Ste B
Swansea, IL 62226
Phone (618) 622-9770

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1902246283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4956 BENCHMARK CENTRE DR",
            "address_2": "SUITE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622267605",
            "telephone_number": "618-622-9770",
            "fax_number": "618-622-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4956 BENCHMARK CENTRE DR",
            "address_2": "SUITE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622267605",
            "telephone_number": "618-622-9770",
            "fax_number": "618-622-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPINE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "CURRIER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-622-9770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.