Ivers Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038006274 Issued in IL

Legal business name

IVERS CHIROPRACTIC, INC.

Practice address

1024 McHenry Ave
Suite E
Crystal Lake, IL 60014-7477

Phone

(815) 455-1919

Fax

(815) 455-1455

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Ivers, D.C.

Title

Physician

Phone

(815) 455-1919

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1154530947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 MCHENRY AVE",
            "address_2": "SUITE E",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147477",
            "telephone_number": "815-455-1919",
            "fax_number": "815-455-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MCHENRY AVE",
            "address_2": "SUITE E",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147477",
            "telephone_number": "815-455-1919",
            "fax_number": "815-455-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVERS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "IVERS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "815-455-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801804919",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038006274",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.