Active Edge Chiropractic & Rehab Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012516 Issued in IL

Legal business name

ACTIVE EDGE CHIROPRACTIC & REHAB INC

Practice address

1024 Maine St
Quincy, IL 62301-4039

Phone

(217) 222-6500

Fax

(217) 222-5688

NPI assigned

Jan 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. James Edward Johnson III, D.C.NPI 1720416936

Title

Chiropractor

Phone

(217) 222-6500

Specialties & licenses 1

Addresses

Tax ID family

Active Edge Chiropractic Rehab Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Active Edge Chiropractic & Rehab Inc

  • Chiropractor
  • Quincy, IL
  • NPI 1992114151
  NPD tax ID

Practitioners 1

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

• James Edward Johnson III, D.C.

  • Chiropractor
  • Quincy, IL
  • NPI 1720416936
  NPD Authorized official

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1922496637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014039",
            "telephone_number": "217-222-6500",
            "fax_number": "217-222-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014039",
            "telephone_number": "217-222-6500",
            "fax_number": "217-222-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE EDGE CHIROPRACTIC & REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "217-222-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aa Dental Care PC
• Achieve Speech Therapy, PLLC
• Andrew Ackell, MD
• Daniel Emilio Acosta Bowen, MD
• James A Acree, RPH.
• Active Edge Chiropractic & Rehab Inc
• Adams County Ambulance & E M S
• Adams County Council for Sr Citizens
• Adams County R S V P
• Amanda K Adams, OT

• All providers in Quincy, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.