Mario Nathaniel Rosales, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013533 Issued in IL

Practice address

1820 Windsor Rd
Loves Park, IL 61111-4271

Phone

(815) 986-4411

NPI assigned

Mar 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Alexander T Mera PCGroup PAC ID 8022116722, 5 clinicians

Chiropractic First of RockfordGroup PAC ID 4880865336, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Chiropractic First of Rockford

  • Chiropractor
  • Rockford, IL
  • NPI 1619255858
  Medicare reassignment Care Compare group NPD
• Dr Alexander T Mera PC

  • Chiropractor
  • West Dundee, IL
  • NPI 1447475215
  Medicare reassignment Care Compare group NPD
• RMJ Partnership

  • Chiropractor
  • Byron, IL
  • NPI 1932258712
  Medicare reassignment NPD
• Chiropractic First North PLLC

  • Chiropractor
  • Roscoe, IL
  • NPI 1356273007
  NPD Authorized official
• Webb Chiropractic PLLC

  • Chiropractor
  • Byron, IL
  • NPI 1306729256
  NPD
• Integrative Medical of Rockford

  • General Practice Physician
  • Rockford, IL
  • NPI 1992297428
  NPD (past)
• Street Smartz Chiropractic PLLC

  • Chiropractor
  • Rockford, IL
  • NPI 1588286223
  NPD (past)

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1720613631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 WINDSOR RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114271",
            "telephone_number": "815-986-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 WINDSOR RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114271",
            "telephone_number": "815-986-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "MARIO",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockford Eye & Laser Center LTD.
• Rockford Health Physicians
• Rockford Pain & Rehab, LLC
• Amanda L Roettger, RN,BSN
• Jonathan David Rohl, D.D.S.
• Brittany Ann Rose, RN
• Elizabeth S Royer-Patel, NP
• William Ryan
• David B. Rydberg, M.D.
• Saint Anthony Medical Center

• Chiropractor in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.