Active NPI
Alexander Chiropractic Care Clinic
- Chiropractor
- Champaign, IL
National Provider Identifier
1912101940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ALEXANDER CHIROPRACTIC CARE CLINIC
- Practice address
- 1711 S Neil St
Champaign, IL 61820-7298 - Phone
- (217) 398-9870
- Fax
- (217) 398-1817
- NPI assigned
- Jun 13, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ray Alexander, DC -FASA -ATC
- Title
- President
- Phone
- (217) 398-9870
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
1711 S Neil St
Champaign, IL 61820-7298
Mailing address
1711 S Neil St
Champaign, IL 61820-7298
Phone (217) 398-9870
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205925492 | Other | IL | NPI TYPE 1 |
| 102334 | Other | IL | BLUE CROSS BLUE SHIELD |
| 049259 | Other | IL | HEALTH ALLIANCE |
| 1912101940 | Other | IL | NPI TYPE2 |
National Provider Directory
National Provider DirectoryLocations
1711 S Neil St
Ste 4
Champaign, IL 61820
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Champaign, IL
- NPI 1205925492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912101940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 S NEIL ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207298",
"telephone_number": "217-398-9870",
"fax_number": "217-398-1817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 S NEIL ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207298",
"telephone_number": "217-398-9870",
"fax_number": "217-398-1817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDER CHIROPRACTIC CARE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "RAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "217-398-9870",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC -FASA -ATC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1205925492",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "102334",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "049259",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE2",
"identifier": "1912101940",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.