Fairfield Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012107 Issued in IL

Legal business name

FAIRFIELD CHIROPRACTIC CLINIC LLC

Practice address

1111 W Delaware St
Fairfield, IL 62837-2315

Phone

(618) 842-6086

Fax

(618) 842-6086

NPI assigned

May 13, 2015

Last updated

May 13, 2015By 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

Dr. Bethany Rae Meeks, D.C.NPI 1750651089

Title

Owner

Phone

(618) 842-6086

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Bethany R Meeks, D.C.

  • Chiropractor
  • Fairfield, IL
  • NPI 1750651089
  Medicare reassignment NPD Authorized official
• Chelsea Lynn Crisp, D.C.

  • Chiropractor
  • Du Quoin, IL
  • NPI 1053507665
  NPD (past)

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1982082707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W DELAWARE ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372315",
            "telephone_number": "618-842-6086",
            "fax_number": "618-842-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W DELAWARE ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372315",
            "telephone_number": "618-842-6086",
            "fax_number": "618-842-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-842-6086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fairfield Comm High School 225
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• Fairfield Memorial Hospital (Hospital Pharmacy)
• Fairfield Memorial Hospital
• Fairfield Memorial Hospital Association (FMH Urgent Care)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.