Organization Active NPI

Vincent Chiropractic, S.C.

  • Chiropractor
  • Salem, IL
National Provider Identifier
1982069894
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012645 Issued in IL
Legal business name
VINCENT CHIROPRACTIC, S.C.
Practice address
120 S Delmar Ave
Suite B
Salem, IL 62881-2000
Phone
(618) 740-1711
NPI assigned
Dec 18, 2015
Last updated
Dec 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Kyleigh Vincent, D.C.NPI 1205242922
Title
President
Phone
(618) 740-1711

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012645 IL Primary

Addresses

Primary practice location

120 S Delmar Ave
Suite B
Salem, IL 62881-2000

Mailing address

120 S Delmar Ave
Suite B P.O. Box 458
Salem, IL 62881-2000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1982069894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S DELMAR AVE",
            "address_2": "SUITE B P.O. BOX 458",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628812000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S DELMAR AVE",
            "address_2": "SUITE B",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628812000",
            "telephone_number": "618-740-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "KYLEIGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-740-1711",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.