Organization Active NPI

R and R Chiropractic, Inc.

  • Chiropractor
  • Metamora, IL
National Provider Identifier
1770646374
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008936 Issued in IL
Legal business name
R AND R CHIROPRACTIC, INC.
Practice address
119 East Partridge
Metamora, IL 61548-0354
Phone
(309) 367-9788
Fax
(309) 367-9817
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Mrs. Kathryn Braun, D.C.NPI 1639255508
Title
Owner
Phone
(309) 367-9788

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 038-008936 IL Primary

Addresses

Primary practice location

119 East Partridge
Metamora, IL 61548-0354

Mailing address

119 East Partridge
Metamora, IL 61548-0354
Phone (309) 367-9788

Other identifiers 2

IdentifierTypeStateIssuer
10232011OtherILBCBS
210067OtherMEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1770646374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 EAST PARTRIDGE",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "615480354",
            "telephone_number": "309-367-9788",
            "fax_number": "309-367-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 EAST PARTRIDGE",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "615480354",
            "telephone_number": "309-367-9788",
            "fax_number": "309-367-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R AND R CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-367-9788",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10232011",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "210067",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metamora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.