Organization Active NPI

Chiropractic Back & Neck Center PC

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1154467447
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007099 Issued in IL
Legal business name
CHIROPRACTIC BACK & NECK CENTER PC
Practice address
327E Indian Trail
Aurora, IL 60505
Phone
(630) 892-7246
Fax
(630) 892-7156
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Dr. John Paul Roza, DCNPI 1326214131
Title
President
Phone
(630) 892-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038007099 IL Primary

Addresses

Primary practice location

327E Indian Trail
Aurora, IL 60505

Mailing address

327E Indian Trail
Aurora, IL 60505
Phone (630) 892-7246

National Provider Directory

National Provider Directory

Locations

327 E Indian Trl
Aurora, IL 60505
Phone (630) 892-7246

1177 N Highland Ave
Ste 102
Aurora, IL 60506
Phone (630) 301-7366

Practitioners & affiliated clinicians

Practitioners 1

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1154467447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327E INDIAN TRAIL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60505",
            "telephone_number": "630-892-7246",
            "fax_number": "630-892-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327E INDIAN TRAIL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60505",
            "telephone_number": "630-892-7246",
            "fax_number": "630-892-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC BACK & NECK CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "ROZA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-892-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.