Organization Active NPI

Advanced Medical Specialties Group, SC

  • Chiropractor
  • Belvidere, IL
National Provider Identifier
1457409831
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCED MEDICAL SPECIALTIES GROUP, SC
Practice address
860 Biester Dr
Ste 103
Belvidere, IL 61008-4053
Phone
(815) 544-3894
NPI assigned
Jan 8, 2007
Organization subpart
Yes
Parent organization
ADVANCED MEDICAL SPECIALTIES GROUP, SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Robert A Dyer, DC
Title
Owner
Phone
(815) 544-3894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

860 Biester Dr
Ste 103
Belvidere, IL 61008-4053

Mailing address

887 White Oaks Dr
Dixon, IL 61021-9057
Phone (815) 544-3894

National Provider Directory

National Provider Directory
Part of
Walnut Chiropractic and Acupuncture SC

Locations

860 Biester Dr
Ste 103
Belvidere, IL 61008
Phone (815) 544-3894

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1457409831",
    "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": "815-544-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BIESTER DR",
            "address_2": "STE 103",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610084053",
            "telephone_number": "815-544-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL SPECIALTIES GROUP, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED MEDICAL SPECIALTIES GROUP, SC",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.