Organization Active NPI

Ogle County Chiropractic Center, Inc.

  • Chiropractor
  • Byron, IL
National Provider Identifier
1184029787
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011712 Issued in IL
Legal business name
OGLE COUNTY CHIROPRACTIC CENTER, INC.
Practice address
137 N Walnut St
Suite 5
Byron, IL 61010-1475
Phone
(815) 234-2222
NPI assigned
Oct 27, 2014
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Dr. Amanda Marie Jennings, DCNPI 1912227000
Title
Owner
Phone
(773) 304-6100

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011712 IL Primary

Addresses

Primary practice location

137 N Walnut St
Suite 5
Byron, IL 61010-1475

Mailing address

PO Box 969
Byron, IL 61010-0969
Phone (815) 234-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150424000336 IL Part B Supplier - Clinic/Group Practice 5890019319 Receives reassigned benefits from 1 practitioner
Practice locations: Byron, IL

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1184029787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "BYRON",
            "state": "IL",
            "postal_code": "610100969",
            "telephone_number": "815-234-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N WALNUT ST",
            "address_2": "SUITE 5",
            "city": "BYRON",
            "state": "IL",
            "postal_code": "610101475",
            "telephone_number": "815-234-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGLE COUNTY CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-304-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.