Organization Active NPI

Warner Chiropractic Clinic LTD

  • Chiropractor
  • Rockford, IL
National Provider Identifier
1013007020
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WARNER CHIROPRACTIC CLINIC LTD
Practice address
4855 E State St
Rockford, IL 61108-2274
Phone
(815) 398-8111
Fax
(815) 398-8132
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Carl Warner, DC
Title
President
Phone
(815) 398-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

4855 E State St
Rockford, IL 61108-2274

Mailing address

4855 E State St
Rockford, IL 61108-2274
Phone (815) 398-8111

National Provider Directory

National Provider Directory

Locations

4855 E State St
Rockford, IL 61108
Phone (815) 226-1405

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1013007020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082274",
            "telephone_number": "815-398-8111",
            "fax_number": "815-398-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082274",
            "telephone_number": "815-398-8111",
            "fax_number": "815-398-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARNER CHIROPRACTIC CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-398-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.