Active NPI
Generations Chiropractic Wellness, LLC
- Clinic/Center
- Belvidere, IL
National Provider Identifier
1811397136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 038012666
- Legal business name
- GENERATIONS CHIROPRACTIC WELLNESS, LLC
- Practice address
- 8115 Fruit Farm Rd
Belvidere, IL 61008-9075 - Phone
- (815) 547-6333
- Fax
- (815) 642-5695
- NPI assigned
- Aug 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samantha Elizabeth Bradley, DC
- Title
- Clinic Owner
- Phone
- (815) 547-6333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 038012666 | IL | Primary |
Addresses
Primary practice location
8115 Fruit Farm Rd
Belvidere, IL 61008-9075
Mailing address
8115 Fruit Farm Rd
Belvidere, IL 61008-9075
Phone (815) 547-6333
Other practice location 1
205 Cadillac Ct
Ste 8
Belvidere, IL 61008-1733
Phone (815) 547-6333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5090934 | Other | IL | AETNA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | claim.md | Health Information Exchange (HIE) | |
| SOAP URL | gcwbelvidere.janeapp.com | Direct |
National Provider Directory
National Provider DirectoryLocations
205 Cadillac Ct
Ste 8
Belvidere, IL 61008
Phone (815) 547-6333
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Waunakee, WI
- NPI 1346292000
-
- Chiropractor
- Waunakee, WI
- NPI 1912935081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1811397136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8115 FRUIT FARM RD",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610089075",
"telephone_number": "815-547-6333",
"fax_number": "815-642-5695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8115 FRUIT FARM RD",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610089075",
"telephone_number": "815-547-6333",
"fax_number": "815-642-5695"
}
],
"practiceLocations": [
{
"address_1": "205 Cadillac Ct",
"address_2": "STE 8",
"address_purpose": "LOCATION",
"city": "Belvidere",
"state": "IL",
"postal_code": "610081733",
"country_code": "US",
"telephone_number": "815-547-6333",
"fax_number": "815-986-8805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GENERATIONS CHIROPRACTIC WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-25",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "CLINIC OWNER",
"authorized_official_telephone_number": "815-547-6333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "IL",
"license": "038012666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5090934",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "claim.md",
"affiliation": "N",
"endpointDescription": "clearinghouse",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8115 Fruit Farm Rd",
"city": "Belvidere",
"state": "IL",
"country_code": "US",
"postal_code": "610089075",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "gcwbelvidere.janeapp.com",
"affiliation": "N",
"endpointDescription": "online server houses scheduling, billing, SOAP charting and referral network as well as through the sister site onpatient direct protected communication with patients",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8115 Fruit Farm Rd",
"city": "Belvidere",
"state": "IL",
"country_code": "US",
"postal_code": "610089075",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.