Individual provider Active NPI

Anette Svendsberget, D.C.

  • Chiropractor
  • Moline, IL
National Provider Identifier
1356854970
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012983 Issued in IL
Practice address
1535 47TH Ave
Suite 5
Moline, IL 61265
Phone
(309) 592-7000
Fax
(309) 524-4745
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012983 IL Primary

Addresses

Primary practice location

1535 47TH Ave
Suite 5
Moline, IL 61265

Mailing address

1535 47TH Ave
Suite 5
Moline, IL 61265
Phone (309) 592-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220328002530 IL Practitioner - Chiropractic 2365837416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 W Stephenson St
Freeport, IL 61032-4219
Phone (815) 616-8284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012983ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Freeport Chiropractic PLLC Chiropractor CurrentSince Dec 1, 2024 Accepting new patients
Evolve Chiropractic Rockford PLLC Chiropractor CurrentSince Nov 18, 2024 Accepting new patients

Locations

1 W Stephenson St
Freeport, IL 61032
Phone (815) 616-8284

10705 Ruth Rd
Huntley, IL 60142
Phone (847) 277-2990

2606 Broadway
Ste 1A
Rockford, IL 61108
Phone (815) 397-3744

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1356854970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 47TH AVE",
            "address_2": "SUITE 5",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-592-7000",
            "fax_number": "309-524-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 47TH AVE",
            "address_2": "SUITE 5",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-592-7000",
            "fax_number": "309-524-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVENDSBERGET",
        "first_name": "ANETTE",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.