NPIMap

Organization Active NPI

Advanced Healthcare Providers, SC

  • General Practice Physician
  • Belvidere, IL
National Provider Identifier
1770839698
Registry record updated Jul 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
36078826 Issued in IL
Legal business name
ADVANCED HEALTHCARE PROVIDERS, SC
Practice address
860 Biester Dr
Suite 103
Belvidere, IL 61008-4053
Phone
(815) 544-3894
NPI assigned
Jul 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2012

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

Authorized official

Name
Dr. Robert A Dyer, DC
Title
President
Phone
(815) 544-3894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 36078826 IL Primary

Addresses

Primary practice location

860 Biester Dr
Suite 103
Belvidere, IL 61008-4053

Mailing address

860 Biester Dr
Suite 103
Belvidere, IL 61008-4053

National Provider Directory

National Provider Directory

Locations

860 Biester Dr
Ste 101
Belvidere, IL 61008
Phone (815) 544-3894

115 N Galena Ave
Dixon, IL 61021
Phone (815) 667-9498

Practitioners & affiliated clinicians

Practitioners 8

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": "1343520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343520000000",
    "number": "1770839698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BIESTER DR",
            "address_2": "SUITE 103",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610084053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BIESTER DR",
            "address_2": "SUITE 103",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610084053",
            "telephone_number": "815-544-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE PROVIDERS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-29",
        "last_updated": "2012-07-29",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-544-3894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "36078826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belvidere, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2012; 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.