CHAMPAIGN CHIROPRACTIC CLINIC
NPI 1316783178
Chiropractor in Champaign, IL

Q: What is Champaign Clinic Inc's NPI number?

The NPI number for Champaign Clinic Inc is 1316783178. It was assigned to this organization in the NPPES registry on July 2, 2024. The provider is doing business as Champaign Chiropractic Clinic.

Q: What is Champaign Clinic Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since July 02, 2024

1207 S MATTIS AVE STE 2, CHAMPAIGN, IL 61821(217) 355-5922(217) 355-5925 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2024, Jul 2, 2024 (2 updates tracked since 2024).

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About Champaign Chiropractic Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAMPAIGN CHIROPRACTIC CLINIC (NPI 1316783178) is a healthcare organization registered as a chiropractor in Champaign, Illinois and active in the NPI registry since July 2024. The organization lists Kevin Douglas Stachnik, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1316783178

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameCHAMPAIGN CLINIC INC

Location Address1207 S MATTIS AVE STE 2Champaign, IL 61821-4861

Mailing Address1207 S Mattis Ave Ste 2Champaign, IL 61821-4861 · (217) 355-5922 · Fax (217) 355-5925

Phone(217) 355-5922

Fax(217) 355-5925

Organization SubpartNo

Authorized OfficialKevin Douglas StachnikOwner/doctor · (217) 355-5922

Enumeration DateJuly 2, 2024

Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1316783178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

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.

1207 S MATTIS AVE STE 2, Champaign, IL 61821

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Other Names 1

Doing Business AsChampaign Chiropractic Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Champaign Chiropractic Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Champaign Chiropractic Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Stachnik, D.C.

Chiropractic

NPI 1720038128

1207 S MATTIS AVE STE 2
Champaign, IL 61821

(309) 661-0414

✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Champaign Clinic Inc's NPI number?

The NPI number for Champaign Clinic Inc is 1316783178. It was assigned to this organization in the NPPES registry on July 2, 2024. The provider is doing business as Champaign Chiropractic Clinic.

Where is Champaign Clinic Inc located?

Champaign Clinic Inc is located at 1207 S Mattis Ave Ste 2, Champaign, IL 61821. The listed phone number is (217) 355-5922.

What is Champaign Clinic Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Champaign Clinic Inc enrolled in Medicare?

Yes. Champaign Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Champaign Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Champaign Clinic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Champaign Clinic Inc was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.