DR DAN KHAMPRASEUT (NPI# 1740454065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740454065 |
| Entity Type | Organization |
| Organization Name | DR DAN KHAMPRASEUT |
| Other Organization Name | ST CLAIR COUNTY CHIROPRACTIC & REHAB |
| Practice Address |
3620a N Belt W Belleville IL 62226-5947 |
| Practice Telephone | 6182333324 |
| Practice Fax Number | 6182334758 |
| Mailing Telephone | 6182333324 |
| Mailing Fax Number | 6182334758 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | DR. DAN KHAMPRASEUT (PHYSICIAN) |
| Authorized Official Telephone | 6182333324 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS-IL | 8232072 | 01 |
| IL | 08009696 | 05 |
| Other Name | Type Code |
|---|---|
| St Clair County Chiropractic & Rehab | Doing Business As Name - Organization |
| Street Address |
3620A N BELT W |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226-5947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366083602 | Zachary Charles Beims | Chiropractor | 1205 18th St Ste 5, Belleville, KS 66935-2700 | 2019-10-07 |
| 1730644147 | Alex Taylor | Chiropractor | 2347 Old Collinsville Rd Ste G, Belleville, IL 62221-2400 | 2019-02-11 |
| 1841714722 | New Life Chiropractic, LLC | Chiropractor | 16106 Westlake Cir, Belleville, MI 48111-6145 | 2017-08-01 |
| 1093104051 | Landon Roth Wolters | Chiropractor | 1325 18th St, Belleville, KS 66935-2280 | 2015-01-14 |
| 1912229907 | Andy Roy | Chiropractor | 471 Cortlandt Street, Belleville, NJ 07109 | 2010-02-18 |
| 1033356076 | Chiropractic & Wellness Center At Signature Fitness, PC | Chiropractor | 471 Cortlandt St, Belleville, NJ 07109-3330 | 2009-01-13 |
| 1790937597 | Guarino Chiropractic PC | Chiropractor | 858 Joralemon St, Belleville, NJ 07109-1440 | 2008-10-13 |
| 1053511964 | James David Enyart | Chiropractor | 9454 W Main St Ste B, Belleville, IL 62223-1729 | 2007-07-19 |
| 1003011008 | Danny Trent Mosley II | Chiropractor | 4829 W Main St, Unit A, Belleville, IL 62226-4700 | 2007-06-19 |
| 1962604702 | Flesch Chiropractic Ltd | Chiropractor | 29 W. Main St., Belleville, WI 53508 | 2007-06-04 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62226 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.