Jonathan Robert Kirk, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013600 Issued in IL

Practice address

863 S Perryville Rd Ste 100
Rockford, IL 61108-4328

Phone

(779) 423-2044

NPI assigned

Sep 28, 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

Other names 1

• Dr. Johnny Robert Kirk Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 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

State licenses

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
• Integrative Medical of Rockford

  • General Practice Physician
  • Rockford, IL
  • NPI 1992297428
  NPD (past)

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1780291450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N WALNUT LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943837",
            "telephone_number": "847-373-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 S PERRYVILLE RD STE 100",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084328",
            "telephone_number": "779-423-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "JONATHAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Genesis",
            "affiliation": "N",
            "endpointDescription": "Chiropractic Software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "URL",
            "address_1": "863 S Perryville Rd Ste 100",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611084328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://genesischiropracticsoftware.com/",
            "affiliation": "N",
            "endpointDescription": "Chiropractic software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "863 S Perryville Rd Ste 100",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611084328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOHNNY",
            "last_name": "KIRK",
            "middle_name": "ROBERT",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katelan Meredith King, PTA, CBIS
• Mitchell S King, MD
• Tracey Dawn Kinigakis, MD
• Jonathan Edward Kinscherff, PHARMD
• Jacqueline Marie Kirchner, RDN
• Jordin Marie Kirk
• Amy Kirsch, RN, MSN
• Lauren Kiselstein, PHARMD
• Benjamin Josiah Kittle
• Randall D Kittle, OD

• Chiropractor in Rockford, IL
• Providers in Rockford, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.