Trevor Deppe, D.C., ATC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013358 Issued in IL

Practice address

115 N Center St
North Side
Durand, IL 61024-9796

Phone

(815) 248-4085

NPI assigned

May 6, 2015

Last updated

Apr 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evolve Chiropractic Rockford Crossings PLLCGroup PAC ID 4082060207, 3 clinicians

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.

• Evolve Chiropractic Rockford Crossings PLLC

  • Chiropractor
  • Rockford, IL
  • NPI 1598455453
  Medicare reassignment Care Compare group NPD
• 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": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1467839746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "DURAND",
            "state": "IL",
            "postal_code": "610240764",
            "telephone_number": "815-248-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N CENTER ST",
            "address_2": "NORTH SIDE",
            "city": "DURAND",
            "state": "IL",
            "postal_code": "610249796",
            "telephone_number": "815-248-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPPE",
        "first_name": "TREVOR",
        "credential": "D.C., ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiley Beck, CF-SLP
• Mark Blomberg, D.O.
• Mary Grace De Zee, P.T.
• Durand Cusd 322
• Durand Family Chiropractic LLC
• Durand Telepharmacy Inc
• Michael R Gallagher, LMLP, LCPC
• Jennifer Ann Guffey, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.