Nick D Psaltis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

4202 Maray Dr
Rockford, IL 61107-4964

Phone

(815) 397-3030

Fax

(815) 395-8324

NPI assigned

Jul 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: nicholas.psaltis.1@17569.direct.athenahealth.com

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194754895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 MARAY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074964",
            "telephone_number": "815-397-3030",
            "fax_number": "815-395-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 MARAY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074964",
            "telephone_number": "815-397-3030",
            "fax_number": "815-395-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSALTIS",
        "first_name": "NICK",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camilla Provencher, RDN
• Margaret Provenza
• Ian Victor Provo
• Landon S Pryor, M.D.
• Daniel Psaltis, DC
• Psychiatric Associates of Rockford SC
• Psychiatric Clinics of Northern Illinois PC
• Pumilia Family Dental LLC
• Pacita Marie Pumilia, B.S.D.D.S.
• Michael Puruckherr, MD

• Chiropractor in Rockford, IL
• Providers in Rockford, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.