NPIMap

Organization Active NPI

Bodycare Chiropractic of Ottawa S.C.

  • Chiropractor
  • Ottawa, IL
National Provider Identifier
1568664100
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
042618790 Issued in IL
Legal business name
BODYCARE CHIROPRACTIC OF OTTAWA S.C.
Practice address
643 W Main St
Ottawa, IL 61350-2717
Phone
(815) 431-1350
Fax
(815) 431-1360
NPI assigned
Jun 5, 2007
Last updated
May 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Ms. Kathryn Marie Flaherty, D.C.NPI 1457415051
Title
Owner
Phone
(815) 431-1350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 042618790 IL Primary

Addresses

Primary practice location

643 W Main St
Ottawa, IL 61350-2717

Mailing address

643 W Main St
Ottawa, IL 61350-2717
Phone (815) 431-1350

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1568664100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 W MAIN ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502717",
            "telephone_number": "815-431-1350",
            "fax_number": "815-431-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 W MAIN ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502717",
            "telephone_number": "815-431-1350",
            "fax_number": "815-431-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYCARE CHIROPRACTIC OF OTTAWA S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "FLAHERTY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-431-1350",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "042618790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.