Active NPI
Patrick B. Whitaker, D.C., P.C.
- Chiropractor
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PATRICK B. WHITAKER, D.C., P.C.
- Practice address
- 129 Phelps Ave
Suite 316
Rockford, IL 61108-2453 - Phone
- (815) 229-5568
- Fax
- (815) 229-0942
- NPI assigned
- Mar 2, 2012
- Last updated
- Mar 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patrick B Whitaker, D.C.
- Title
- Owner
- Phone
- (815) 229-5568
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
129 Phelps Ave
Suite 316
Rockford, IL 61108-2453
Mailing address
129 Phelps Ave
Suite 316
Rockford, IL 61108-2453
Phone (815) 229-5568
National Provider Directory
National Provider DirectoryLocations
129 Phelps Ave
Ste 316
Rockford, IL 61108
Phone (815) 229-5568
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Rockford, IL
- NPI 1477629202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330646400000",
"number": "1104190503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 PHELPS AVE",
"address_2": "SUITE 316",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082453",
"telephone_number": "815-229-5568",
"fax_number": "815-229-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 PHELPS AVE",
"address_2": "SUITE 316",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082453",
"telephone_number": "815-229-5568",
"fax_number": "815-229-0942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICK B. WHITAKER, D.C., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-02",
"last_updated": "2012-03-02",
"status": "A",
"authorized_official_last_name": "WHITAKER",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-229-5568",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"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 Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.