Active NPI
Walnut Chiropractic and Acupuncture, SC
- Chiropractor
- Belvidere, IL
National Provider Identifier
1194995217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038007076
- Legal business name
- WALNUT CHIROPRACTIC AND ACUPUNCTURE, SC
- Practice address
- 860 Biester Dr
Suite 103
Belvidere, IL 61008-4053 - Phone
- (815) 544-3894
- Fax
- (815) 547-3968
- NPI assigned
- Mar 4, 2008
- Organization subpart
- Yes
- Parent organization
- WALNUT CHIROPRACTIC AND ACUPUNCTURE, SC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Allen Dyer, DC
- Title
- President
- Phone
- (815) 544-3894
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038007076 | IL | Primary |
Addresses
Primary practice location
860 Biester Dr
Suite 103
Belvidere, IL 61008-4053
Mailing address
887 White Oaks Dr
Dixon, IL 61021-9057
Phone (815) 652-3551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05207617 | Other | IL | BLUECROSS/BLUESHIELD |
Other names 1
- Advanced Chiropractic and Acupuncture Centre
National Provider Directory
National Provider Directory- Part of
- Walnut Chiropractic and Acupuncture SC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Belvidere, IL
- NPI 1972670776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263340800000",
"number": "1194995217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "887 WHITE OAKS DR",
"city": "DIXON",
"state": "IL",
"postal_code": "610219057",
"telephone_number": "815-652-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 BIESTER DR",
"address_2": "SUITE 103",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610084053",
"telephone_number": "815-544-3894",
"fax_number": "815-547-3968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALNUT CHIROPRACTIC AND ACUPUNCTURE, SC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WALNUT CHIROPRACTIC AND ACUPUNCTURE, SC",
"enumeration_date": "2008-03-04",
"last_updated": "2010-01-13",
"status": "A",
"authorized_official_last_name": "DYER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-544-3894",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038007076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "05207617",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Chiropractic and Acupuncture Centre",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Belvidere, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.