Freeport Family Chiropractic & Acupuncture Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009058 Issued in IL

Legal business name

FREEPORT FAMILY CHIROPRACTIC & ACUPUNCTURE INC

Practice address

455 W Stephenson St
Freeport, IL 61032-5001

Phone

(815) 232-4217

Fax

(815) 233-3379

NPI assigned

Dec 28, 2006

Last updated

Dec 18, 2012By 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. Nicole Leigh Sdao, DCNPI 1962416867

Title

Doctor of Chiropractic

Phone

(815) 232-4217

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Roger Sdao, D.C.

  • Orthopedic Chiropractor
  • Freeport, IL
  • NPI 1699799346
  Medicare reassignment NPD
• Nicole Leigh Sdao, D.C.

  • Orthopedic Chiropractor
  • Freeport, IL
  • NPI 1962416867
  Authorized official Same address or phone

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1437215183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W STEPHENSON ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610325001",
            "telephone_number": "815-232-4217",
            "fax_number": "815-233-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W STEPHENSON ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610325001",
            "telephone_number": "815-232-4217",
            "fax_number": "815-233-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT FAMILY CHIROPRACTIC & ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "SDAO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "815-232-4217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008743",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P10 NUMBER",
            "identifier": "210593",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freeport Care LLC
• Freeport Chiropractic PLLC
• Freeport Dental
• Freeport District 145
• Freeport Ear Nose & Throat Associates LTD
• Freeport Family Dental Care, P.C.
• Freeport Family Dental, LLC
• Freeport Home Medical Equipment, Inc
• Freeport Memorial Hospital (FHN Hospice)
• Freeport Memorial Hospital (FHN Memorial Hospital)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.