Organization Active NPI

Precision XP LLC

Doing business as Precision Chiropractic

  • Clinic/Center
  • Effingham, IL
National Provider Identifier
1902330616
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
038013014 Issued in IL
Legal business name
PRECISION XP LLC
Doing business as
Precision Chiropractic
Practice address
212 N 4TH St
Effingham, IL 62401-3460
Phone
(217) 347-5812
Fax
(217) 347-5818
NPI assigned
Apr 19, 2017
Last updated
Apr 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Dr. Kevin Paul Borntreger, D.C.NPI 1689071359
Title
Owner
Phone
(217) 347-5812

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
Clinic/Center 261Q00000X 038013014 IL Primary

Addresses

Primary practice location

212 N 4TH St
Effingham, IL 62401-3460

Mailing address

212 N 4TH St
Effingham, IL 62401-3460
Phone (217) 347-5812

Other names 1

  • Precision Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170502001356 IL Part B Supplier - Clinic/Group Practice 5395022289 Receives reassigned benefits from 1 practitioner
Practice locations: Effingham, IL

National Provider Directory

National Provider Directory

Locations

212 N 4th St
Effingham, IL 62401
Phone (217) 347-5812

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": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1902330616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N 4TH ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013460",
            "telephone_number": "217-347-5812",
            "fax_number": "217-347-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 4TH ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013460",
            "telephone_number": "217-347-5812",
            "fax_number": "217-347-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION XP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "BORNTREGER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-347-5812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038013014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.