Organization Active NPI

Linker Chiropractic, Inc.

  • Chiropractor
  • Rockford, IL
National Provider Identifier
1487804050
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010407 Issued in IL
Legal business name
LINKER CHIROPRACTIC, INC.
Practice address
483 N Mulford Rd
Ste 7
Rockford, IL 61107-5191
Phone
(815) 394-0309
Fax
(815) 394-0310
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Dr. Brandon Linker, D.C.
Title
Owner / President
Phone
(815) 394-0309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038010407 IL Primary

Addresses

Primary practice location

483 N Mulford Rd
Ste 7
Rockford, IL 61107-5191

Mailing address

483 N Mulford Rd
Ste 7
Rockford, IL 61107-5191
Phone (815) 394-0309

Other identifiers 1

IdentifierTypeStateIssuer
0010132372OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

483 N Mulford Rd
Ste 7
Rockford, IL 61107
Phone (815) 394-0309

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1487804050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N MULFORD RD",
            "address_2": "STE 7",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075191",
            "telephone_number": "815-394-0309",
            "fax_number": "815-394-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N MULFORD RD",
            "address_2": "STE 7",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075191",
            "telephone_number": "815-394-0309",
            "fax_number": "815-394-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINKER CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "LINKER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "815-394-0309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0010132372",
            "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 Feb 3, 2009; 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.