NPIMap

Organization Active NPI

Rockford Chiropractic Corporation

Doing business as Rockford Chiropractic

  • Chiropractor
  • Rockford, MN
National Provider Identifier
1790796159
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3765 Issued in MN
Legal business name
ROCKFORD CHIROPRACTIC CORPORATION
Doing business as
Rockford Chiropractic
Practice address
9000 Walnut Street
Rockford, MN 55373
Phone
(763) 477-5720
Fax
(866) 595-5649
NPI assigned
Aug 11, 2006
Last updated
Dec 27, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ROCKFORD CHIROPRACTIC CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Dr. Steven Peter Karg, D.C.
Title
Chiropractor
Phone
(763) 477-5720

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3765 MN Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4723 MN

Addresses

Primary practice location

9000 Walnut Street
Rockford, MN 55373

Mailing address

PO Box 250
Rockford, MN 55373-0250
Phone (763) 477-6569

Other names 1

  • Rockford Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041223000021 MN Part B Supplier - Clinic/Group Practice 2062470958 Receives reassigned benefits from 1 practitioner
Practice locations: Rockford, MN

National Provider Directory

National Provider Directory
Part of
Rockford Chiropractic

Locations

9000 Walnut St
Rockford, MN 55373
Phone (612) 930-2591

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1790796159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "ROCKFORD",
            "state": "MN",
            "postal_code": "553730250",
            "telephone_number": "763-477-6569",
            "fax_number": "866-595-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 WALNUT STREET",
            "city": "ROCKFORD",
            "state": "MN",
            "postal_code": "55373",
            "telephone_number": "763-477-5720",
            "fax_number": "866-595-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD CHIROPRACTIC CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCKFORD CHIROPRACTIC CORPORATION",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "KARG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "763-477-5720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3765",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockford Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.