NPIMap

Organization Active NPI

Midtown Family Chiropractic

  • Chiropractor
  • Rockford, IL
National Provider Identifier
1023345378
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011531 Issued in IL
Legal business name
MIDTOWN FAMILY CHIROPRACTIC
Practice address
4921 E State St
Rockford, IL 61108-2275
Phone
(815) 398-4004
Fax
(815) 398-4005
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Dr. Lance Myers, D.C.
Title
Office Manager
Phone
(815) 821-4645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011531 IL Primary

Addresses

Primary practice location

4921 E State St
Rockford, IL 61108-2275

Mailing address

207 W Avon St
Forreston, IL 61030-9335
Phone (815) 821-4645

National Provider Directory

National Provider Directory

Locations

206 S Galena Ave
Ste 80
Freeport, IL 61032
Phone (815) 233-3018

4921 E State St
Rockford, IL 61108
Phone (815) 398-4004

Practitioners & affiliated clinicians

Practitioners 6

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": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1023345378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W AVON ST",
            "city": "FORRESTON",
            "state": "IL",
            "postal_code": "610309335",
            "telephone_number": "815-821-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082275",
            "telephone_number": "815-398-4004",
            "fax_number": "815-398-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-821-4645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011531",
            "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 Mar 22, 2013; 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.