Active NPI
Alexander Andrews
- Chiropractor
- Royalton, IL
National Provider Identifier
1902434574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.013543
- Practice address
- 410 E 3Rd St S
Royalton, IL 62983-1339 - Phone
- (618) 780-4104
- NPI assigned
- Mar 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 038.013543 | IL | Primary |
Addresses
Primary practice location
410 E 3Rd St S
Royalton, IL 62983-1339
Mailing address
410 E 3Rd St S
Royalton, IL 62983-1339
Phone (618) 780-4104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013543 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1902434574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 E 3RD ST S",
"city": "ROYALTON",
"state": "IL",
"postal_code": "629831339",
"telephone_number": "618-780-4104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E 3RD ST S",
"city": "ROYALTON",
"state": "IL",
"postal_code": "629831339",
"telephone_number": "618-780-4104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-30",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038.013543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royalton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.