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KLINEDINST CHIROPRACTIC, LLC
NPI 1972703627
Chiropractor in Canton, IL

Active since July 20, 2007
106 MARTIN AVE, CANTON, IL 61520(309) 647-8030(309) 647-5902 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Klinedinst Chiropractic, Llc NPPES

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

KLINEDINST CHIROPRACTIC, LLC (NPI 1972703627) is a healthcare organization registered as a chiropractor in Canton, Illinois and active in the NPI registry since July 2007. The organization lists Randy L. Klinedinst, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1972703627
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKLINEDINST CHIROPRACTIC, LLC
Location Address106 MARTIN AVECanton, IL 61520-2519
Mailing Address106 Martin AveCanton, IL 61520-2519 · (309) 647-8030 · Fax (309) 647-5902
Phone(309) 647-8030
Fax(309) 647-5902
Organization SubpartNo
Authorized OfficialRandy L. KlinedinstChiropractor/owner · (309) 647-8030
Enumeration DateJuly 20, 2007
Last NPPES UpdateJanuary 6, 2015
✔ NPI 1972703627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-004195
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.
106 MARTIN AVE, Canton, IL 61520
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Other Identifiers 1

OtherIL3472IL · Medicare Ptan

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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Klinedinst Chiropractic, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tyson Klinedinst, D.C.
Chiropractic
NPI 1053635318
106 MARTIN AVE
Canton, IL 61520
(309) 647-8030
✔ Accepts MedicareSame address
Randy Klinedinst, D.C.
Chiropractic
NPI 1659419331
106 MARTIN AVE
Canton, IL 61520
(309) 647-8030
✔ 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 Klinedinst Chiropractic, LLC's NPI number?

The NPI number for Klinedinst Chiropractic, LLC is 1972703627. It was assigned to this organization in the NPPES registry on July 20, 2007.

Where is Klinedinst Chiropractic, LLC located?

Klinedinst Chiropractic, LLC is located at 106 Martin Ave, Canton, IL 61520. The listed phone number is (309) 647-8030.

What is Klinedinst Chiropractic, LLC's specialty?

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

Is Klinedinst Chiropractic, LLC enrolled in Medicare?

Yes. Klinedinst Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Klinedinst Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Klinedinst 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Klinedinst Chiropractic, LLC was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.