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STAUNTON CHIROPRACTIC CLINIC, INC.
NPI 1629272133
Chiropractor in Staunton, IL

Active since June 11, 2007
426 W PEARL ST, STAUNTON, IL 62088(618) 635-3200(618) 635-5445 Get Directions Write a Review

NPPES record last updated: June 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Staunton Chiropractic Clinic, Inc. NPPES

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

STAUNTON CHIROPRACTIC CLINIC, INC. (NPI 1629272133) is a healthcare organization registered as a chiropractor in Staunton, Illinois and active in the NPI registry since June 2007. The organization lists Jeffrey D Roller, Owner, as its authorized official.

NPPES Registry Identity

NPI1629272133
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSTAUNTON CHIROPRACTIC CLINIC, INC.
Location Address426 W PEARL STStaunton, IL 62088-1313
Mailing Address426 W Pearl StStaunton, IL 62088-1313 · (618) 635-3200 · Fax (618) 635-5445
Phone(618) 635-3200
Fax(618) 635-5445
Organization SubpartNo
Authorized OfficialJeffrey D RollerOwner · (618) 635-3200
Enumeration DateJune 11, 2007
Last NPPES UpdateJune 21, 2013
✔ NPI 1629272133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 38-009779
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.
426 W PEARL ST, Staunton, IL 62088
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Other Identifiers 1

Medicare ID-Type Unspecified210315IL

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)

Staunton Chiropractic Clinic, Inc. 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 Staunton Chiropractic Clinic, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Roller, D.C.
Chiropractic
NPI 1982708491
426 W PEARL ST
Staunton, IL 62088
(618) 635-3200
✔ 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 Staunton Chiropractic Clinic, Inc.'s NPI number?

The NPI number for Staunton Chiropractic Clinic, Inc. is 1629272133. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Staunton Chiropractic Clinic, Inc. located?

Staunton Chiropractic Clinic, Inc. is located at 426 W Pearl St, Staunton, IL 62088. The listed phone number is (618) 635-3200.

What is Staunton Chiropractic Clinic, Inc.'s specialty?

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

Is Staunton Chiropractic Clinic, Inc. enrolled in Medicare?

Yes. Staunton Chiropractic Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Staunton Chiropractic Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Staunton Chiropractic 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 Staunton Chiropractic Clinic, Inc. was last updated on June 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.