GRANITE CITY CHIROPRACTIC LLC
NPI 1528072451
Chiropractor in Granite City, IL

Active since July 28, 2006
3136 NAMEOKI RD, GRANITE CITY, IL 62040(618) 452-2300(618) 452-0373 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Granite City Chiropractic Llc NPPES

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

GRANITE CITY CHIROPRACTIC LLC (NPI 1528072451) is a healthcare organization registered as a chiropractor in Granite City, Illinois and active in the NPI registry since July 2006. The organization lists Daniel Jason Miller, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1528072451
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGRANITE CITY CHIROPRACTIC LLC
Location Address3136 NAMEOKI RDGranite City, IL 62040-5013
Mailing Address258 Geremma DrBallwin, MO 63011-3334 · (314) 283-8421
Fax(618) 452-0373
Organization SubpartNo
Authorized OfficialDaniel Jason MillerDoctor Of Chiropractic · (618) 452-2300
Enumeration DateJuly 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1528072451 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.
3136 NAMEOKI RD, Granite City, IL 62040

Other Identifiers 1

Other06026803IL · Blue Cross & Blue Shield

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)

Granite City Chiropractic Llc 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 Granite City Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1104832294
3136 NAMEOKI RD
Granite City, IL 62040
(618) 452-2300
✔ 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 Granite City Chiropractic LLC's NPI number?

The NPI number for Granite City Chiropractic LLC is 1528072451. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Granite City Chiropractic LLC located?

Granite City Chiropractic LLC is located at 3136 Nameoki Rd, Granite City, IL 62040. The listed phone number is (618) 452-2300.

What is Granite City Chiropractic LLC's specialty?

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

Is Granite City Chiropractic LLC enrolled in Medicare?

Yes. Granite City Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Granite City Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Granite City Chiropractic LLC. 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 Granite City Chiropractic LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.