Active NPI
Patrick B. Whitaker, D.C., P.C.
- Chiropractor
- Rockford, IL
National Provider Identifier
1104190503
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
- 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
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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T37426 | Other | IL | UPIN |
National Provider Directory
National Provider DirectoryLocations
129 Phelps Ave
Ste 316
Rockford, IL 61108
Phone (815) 229-5568
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "T37426",
"state": "IL"
}
],
"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.