Way Chiropractic PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WAY CHIROPRACTIC PLLC

Practice address

641 W Stephenson St Ste 3
Freeport, IL 61032-5005

Phone

(815) 238-9629

NPI assigned

May 6, 2022

Last updated

May 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Berven, DCNPI 1679989404

Title

Owner

Phone

(815) 238-9629

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Joshua Berven, DC

  • Chiropractor
  • Freeport, IL
  • NPI 1679989404
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1235875998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W STEPHENSON ST STE 3",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610325005",
            "telephone_number": "815-238-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W STEPHENSON ST STE 3",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610325005",
            "telephone_number": "815-238-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "BERVEN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-238-9629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Walker, DDS, MS
• Walmart Inc.
• Jacob Walters
• Erik Walton
• Kristin M Waughen, DPT
• Dominique Marie Webb, PHARMD, RPH
• Cindy Welch
• Stephen Welch, M.D.
• Janis K Welcher, PTA
• Debra A Welser, D.C.

• Clinic/Center in Freeport, IL
• Providers in Freeport, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.