Active NPI
Nelson Chiropractic S C
Doing business as Nelson Chiropractic
- Chiropractor
- Peoria, IL
National Provider Identifier
1467631309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 042.617841
- Legal business name
- NELSON CHIROPRACTIC S C
- Doing business as
- Nelson Chiropractic
- Practice address
- 7800 N Sommer St Ste 203
Peoria, IL 61615-1990 - Phone
- (309) 691-9767
- Fax
- (309) 691-9457
- NPI assigned
- Oct 28, 2007
- Last updated
- Sep 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rodney Loren Nelson
- Title
- President
- Phone
- (309) 691-9767
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 042.617841 | IL | Primary |
Addresses
Primary practice location
7800 N Sommer St Ste 203
Peoria, IL 61615-1990
Mailing address
7800 N Sommer St Ste 203
Peoria, IL 61615-1990
Phone (309) 691-9767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212653 | Other | IL | MEDICARE GROUP ID |
Other names 1
- Nelson Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Chiropractor
- Peoria, IL
- NPI 1982793881
-
- Chiropractor
- Peoria, IL
- NPI 1952436180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758844800000",
"number": "1467631309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 N SOMMER ST STE 203",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151990",
"telephone_number": "309-691-9767",
"fax_number": "309-691-9457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 N SOMMER ST STE 203",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151990",
"telephone_number": "309-691-9767",
"fax_number": "309-691-9457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NELSON CHIROPRACTIC S C",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-28",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "LOREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "309-691-9767"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "042.617841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID",
"identifier": "212653",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nelson Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.