Kelly S Bond, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012782 Issued in IL

Practice address

431 Phelps Ave Ste 601
Rockford, IL 61108-3101

Phone

(815) 229-5568

Fax

(815) 860-1674

NPI assigned

Sep 26, 2011

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Female

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

National College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KB Chiropractic Center, Inc.

  • Chiropractor
  • Rockford, IL
  • NPI 1396132692
  Medicare reassignment NPD Authorized official
• Evolve Chiropractic Rockford PLLC

  dba Evolve Chiropractic Rockford

  • Chiropractor
  • Rockford, IL
  • NPI 1881238434
  Medicare reassignment NPD

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1316220387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 PHELPS AVE STE 601",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611083101",
            "telephone_number": "815-229-5568",
            "fax_number": "815-860-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 PHELPS AVE STE 601",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611083101",
            "telephone_number": "815-229-5568",
            "fax_number": "815-860-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "KELLY",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Walter Bokowy
• Kaylee Maude Bolar, MSW, LSW
• Nancy Ann Boldt, CCC-SLP
• Penny Bolen, RD, LDN
• Patricia A Bomkamp, RD,LDN
• Regina Sue Bonnell, LMT
• Michelle Bonnen
• Patrice Bonner, LSW
• Mikala S Books, DOULA
• Jennifer Boomer, APN

• 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 Jun 7, 2021; 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.