KLINEDINST CHIROPRACTIC, LLC (NPI# 1972703627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972703627 |
| Entity Type | Organization |
| Organization Name | KLINEDINST CHIROPRACTIC, LLC |
| Practice Address |
106 Martin Ave Canton IL 61520-2519 |
| Practice Telephone | 3096478030 |
| Practice Fax Number | 3096475902 |
| Mailing Telephone | 3096478030 |
| Mailing Fax Number | 3096475902 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2015-01-06 |
| Authorized Official Name | DR. RANDY L. KLINEDINST (CHIROPRACTOR/OWNER) |
| Authorized Official Telephone | 3096478030 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-004195 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | IL3472 | 01 |
| Street Address |
106 MARTIN AVE |
| City | CANTON |
| State | IL |
| Zip Code | 61520-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659419331 | Randy Laverne Klinedinst | Chiropractor | 106 Martin Ave, Canton, IL 61520-2519 | 2007-02-02 |
| 1053635318 | Tyson Laverne Klinedinst | Chiropractor | 106 Martin Ave, Canton, IL 61520-2519 | 2010-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1417261041 | Erin Kathleen Buckley | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520 | 2010-08-06 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| Find all providers in zip 61520 | ||||
| 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 |
|---|---|---|---|---|
| 1871190363 | Rebel Medical Group LLC | Chiropractor | 2920 Marietta Hwy Ste 102, Canton, GA 30114-8207 | 2020-10-07 |
| 1881220762 | Gia Noelle Candelieri-marcari | Chiropractor | 8016 Cumming Hwy Ste 304, Canton, GA 30115-9350 | 2020-03-23 |
| 1639700255 | Kalli Ross Chiropractor LLC | Chiropractor | 4612 Tuscarawas St W, Canton, OH 44708-5339 | 2020-02-02 |
| 1154961514 | Michigan Complete Chiropractic & Rehab., Plc | Chiropractor | 5958 N Canton Center Rd Ste 300, Canton, MI 48187-2766 | 2020-01-13 |
| 1659917870 | Kaitlin Franklin | Chiropractor | 29957 State Highway 64 Ste 101, Canton, TX 75103-3413 | 2019-11-22 |
| 1578036307 | Jessie L Potter | Chiropractor | 6231 N Canton Center Rd Ste 109, Canton, MI 48187-2692 | 2019-01-03 |
| 1144792789 | 100 Percent Chiropractic Ribley, LLC | Chiropractor | 9266 Knox Bridge Hwy Ste 200, Canton, GA 30114-4627 | 2018-12-20 |
| 1891265534 | Austin David Jones | Chiropractor | 6199 Hickory Flat Hwy Ste 142, Canton, GA 30115-7255 | 2018-11-26 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1134629363 | Thomas Joseph Van Petten | Chiropractor | 4774 Munson St Nw Ste 302, Canton, OH 44718-3634 | 2018-02-14 |
| Find all providers in CANTON | ||||
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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.