Organization Active NPI

Street Smartz Chiropractic PLLC

  • Chiropractor
  • Rockford, IL
National Provider Identifier
1588286223
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STREET SMARTZ CHIROPRACTIC PLLC
Practice address
818 Coolidge PL
Rockford, IL 61107-3638
Phone
(815) 398-8023
Fax
(815) 399-2440
NPI assigned
May 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Dr. Susie Marie Briggs, DCNPI 1427002997
Title
Owner
Phone
(815) 519-5005

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

818 Coolidge PL
Rockford, IL 61107-3638

Mailing address

1643 N Alpine Rd Ste 104
Rockford, IL 61107-1464
Phone (815) 398-8023

National Provider Directory

National Provider Directory

Locations

1643 N Alpine Rd
Ste 104
Rockford, IL 61107

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1588286223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 N ALPINE RD STE 104",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071464",
            "telephone_number": "815-398-8023",
            "fax_number": "815-399-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 COOLIDGE PL",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073638",
            "telephone_number": "815-398-8023",
            "fax_number": "815-399-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREET SMARTZ CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-16",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-519-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2020; 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.