Oak Street Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OAK STREET CHIROPRACTIC LLC

Practice address

908 Oak St
Carmi, IL 62821-1340

Phone

(618) 382-4834

Fax

(618) 382-7129

NPI assigned

Jan 16, 2019

Last updated

Mar 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick Scott Haskell, DCNPI 1568519726

Title

Owner

Phone

(618) 382-4834

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• Patrick Scott Haskell, DC

  • Chiropractor
  • Carmi, IL
  • NPI 1568519726
  Medicare reassignment Authorized official
• Fred L Smith, DC

  • Chiropractor
  • Carmi, IL
  • NPI 1780736215
  NPD
• Dennis Loren Kay, D.C.

  • Chiropractor
  • Carmi, IL
  • NPI 1508294760
  NPD (past)

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1942774534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 OAK ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211340",
            "telephone_number": "618-382-4834",
            "fax_number": "618-382-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 OAK ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211340",
            "telephone_number": "618-382-4834",
            "fax_number": "618-382-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK STREET CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "HASKELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-382-4834",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mariah Lynn Newman
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• Abigail Marie Ohara
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• Thomas J Oxford, P.T.
• Paul D Hayse (Pauls Pharmacy)

• Chiropractor in Carmi, IL
• Providers in Carmi, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.