Organization Active NPI

FS Rockford, Inc

  • Durable Medical Equipment & Medical Supplies
  • Rockford, IL
National Provider Identifier
1740218825
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FS ROCKFORD, INC
Doing business as
Foot Solutions
Practice address
6461 E Riverside Blvd
Ste 105
Rockford, IL 61114-4421
Phone
(815) 282-3500
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jon Opperman
Title
President/Owner
Phone
(815) 282-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IL Primary

Addresses

Primary practice location

6461 E Riverside Blvd
Ste 105
Rockford, IL 61114-4421

Mailing address

6461 E Riverside Blvd
Ste 105
Rockford, IL 61114-4421

Other identifiers 1

IdentifierTypeStateIssuer
4805760001OtherILDMERC

Other names 1

  • Foot Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

6461 E Riverside Blvd
#105
Rockford, IL 61114
Phone (815) 282-3500

6451 E Riverside Blvd
Ste 105
Rockford, IL 61114
Phone (815) 282-3500

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740218825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6461 E RIVERSIDE BLVD",
            "address_2": "STE 105",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6461 E RIVERSIDE BLVD",
            "address_2": "STE 105",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-282-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FS ROCKFORD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OPPERMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "815-282-3500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4805760001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2022; 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.