Organization Active NPI

Generations Chiropractic Wellness, LLC

  • Clinic/Center
  • Belvidere, IL
National Provider Identifier
1811397136
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
038012666 Issued in IL
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

Updated by the provider on Feb 24, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5090934OtherILAETNA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL claim.md Health Information Exchange (HIE)
SOAP URL gcwbelvidere.janeapp.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.