Acacia Chiropractic and Acupuncture P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ACACIA CHIROPRACTIC AND ACUPUNCTURE P.C.

Practice address

3088 Flora Rd
Belvidere, IL 61008-9342

Phone

(815) 519-3686

Fax

(815) 547-5216

NPI assigned

Jul 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Danielle E Anderson, D.C.NPI 1023312097

Title

President

Phone

(815) 519-3686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Danielle E Anderson, D.C.

  • Chiropractor
  • Belvidere, IL
  • NPI 1023312097
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1669750899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 FLORA RD",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610089342",
            "telephone_number": "815-519-3686",
            "fax_number": "815-547-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 FLORA RD",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610089342",
            "telephone_number": "815-519-3686",
            "fax_number": "815-547-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA CHIROPRACTIC AND ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-519-3686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.