Chiropractic Healthcare PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIROPRACTIC HEALTHCARE PC

Practice address

1424 W Walnut St
Jacksonville, IL 62650-1103

Phone

(217) 243-3377

Fax

(217) 243-0022

NPI assigned

Feb 10, 2006

Last updated

Dec 12, 2007By 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. Richard E Charpentier II, DCNPI 1912180290

Title

Owner/Doctor

Phone

(217) 243-3377

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Richard E Charpentier II, D.C.

  • Chiropractor
  • Jacksonville, IL
  • NPI 1912180290
  Medicare reassignment NPD Authorized official
• Jason Goldstein, D.C.

  • Chiropractor
  • Springfield, IL
  • NPI 1952529794
  NPD (past)
• James Thomas Phillips, D.C.

  • Chiropractor
  • Jacksonville, IL
  • NPI 1962640615
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1982677795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 W WALNUT ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501103",
            "telephone_number": "217-243-3377",
            "fax_number": "217-243-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 W WALNUT ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501103",
            "telephone_number": "217-243-3377",
            "fax_number": "217-243-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "CHARPENTIER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "217-243-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06907658",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Psychiatric Health
• Central Counties Health Centers, Inc.
• Central Illinois SNF Care PLLC
• Chandupatla Probhakar MD
• Richard E Charpentier II, D.C.
• Christina J. Levi O D P C (IEC -Jacksonville)
• Mickie Clark, COTA
• Jessica M Clement
• Kristine Ann Cockerill, R.PH.
• Beaux Cole, PHARM. D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.