Active NPI
Michael J Papke, DC
- Chiropractor
- Rockford, IL
National Provider Identifier
1750485843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-005684
- Practice address
- 1939 N Rockton Ave
Rockford, IL 61103-4369 - Phone
- (815) 968-1133
- Fax
- (815) 968-1134
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-005684 | IL | Primary |
Addresses
Primary practice location
1939 N Rockton Ave
Rockford, IL 61103-4369
Mailing address
1939 N Rockton Ave
Rockford, IL 61103-4369
Phone (815) 968-1133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10182041 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110117000070 | IL | Practitioner - Chiropractic | 9133318504 | Practice locations: Rockford, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1939 N Rockton Ave
Rockford, IL 61103-4369
Phone (815) 968-1133
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-005684 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1750485843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 N ROCKTON AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611034369",
"telephone_number": "815-968-1133",
"fax_number": "815-968-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 N ROCKTON AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611034369",
"telephone_number": "815-968-1133",
"fax_number": "815-968-1134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPKE",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-005684",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10182041",
"state": null
}
],
"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 12, 2013; 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.