Individual provider Active NPI

Todd Richard Cevene, DC

  • Chiropractor
  • Rockford, IL
National Provider Identifier
1477555928
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008698 Issued in IL
Practice address
6451 E Riverside Blvd
# 103
Rockford, IL 61114-4421
Phone
(815) 639-9900
Fax
(815) 639-9860
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008698 IL Primary

Addresses

Primary practice location

6451 E Riverside Blvd
# 103
Rockford, IL 61114-4421

Mailing address

6451 E Riverside Blvd
# 103
Rockford, IL 61114-4421
Phone (815) 639-9900

Other identifiers 1

IdentifierTypeStateIssuer
210693OtherILMEDICARE GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060508000030 IL Practitioner - Chiropractic 0648263798 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
038-008698ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cevene Care Clinic, Inc Chiropractor CurrentSince Oct 1, 2025 Accepting new patients
Rockford Pain Management LTD PastSince Jan 1, 2012 Accepting new patients
Dr. Mary White PC Past Accepting new patients
Family Health Quest, SC Chiropractor PastSince Oct 10, 2001 Accepting new patients

Locations

6451 E Riverside Blvd
Ste 103
Rockford, IL 61114
Phone (815) 639-9900

Organizations & group practices 4

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1477555928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 E RIVERSIDE BLVD",
            "address_2": "# 103",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-639-9900",
            "fax_number": "815-639-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 E RIVERSIDE BLVD",
            "address_2": "# 103",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-639-9900",
            "fax_number": "815-639-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEVENE",
        "first_name": "TODD",
        "middle_name": "RICHARD",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "210693",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.