Individual provider Active NPI

Peter James Fox, D.C.

  • Chiropractor
  • Libertyville, IL
National Provider Identifier
1063726560
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012247 Issued in IL
Practice address
316 Peterson Rd
Libertyville, IL 60048-1008
Phone
(847) 816-3350
NPI assigned
Jul 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007193 IA
Chiropractor 111N00000X DC010240 PA
Chiropractor 111N00000X 2301009519 MI
Chiropractor 111N00000X 038.012247 IL Primary

Addresses

Primary practice location

316 Peterson Rd
Libertyville, IL 60048-1008

Mailing address

316 Peterson Rd
Libertyville, IL 60048-1008
Phone (847) 816-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190501000930 MI Practitioner - Chiropractic 2163764754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Dr. Jamie L. Cramer PLCGroup PAC ID 5193736148, 4 clinicians

Practice addresses (Care Compare)

4101 John R Rd
Suite 300
Troy, MI 48085-3626
Phone (248) 680-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007193IAMDChiropractor
038.012247ILMDChiropractor
DC010240PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jamie L. Cramer PLC CurrentSince Apr 18, 2019 Accepting new patients

Locations

4101 John R Rd
Ste 300
Troy, MI 48085
Phone (248) 680-7200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1063726560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 PETERSON RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481008",
            "telephone_number": "847-816-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 PETERSON RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481008",
            "telephone_number": "847-816-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "PETER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007193",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010240",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009519",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.