Active NPI
Amanda Beth Borre, D.C.
- Chiropractor
- Aurora, IL
National Provider Identifier
1821160698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009855
- Practice address
- 3015 E New York St
Suite A11
Aurora, IL 60504-5162 - Phone
- (630) 820-1330
- Fax
- (630) 820-1554
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038009855 | IL | Primary |
Addresses
Primary practice location
3015 E New York St
Suite A11
Aurora, IL 60504-5162
Mailing address
3015 E New York St
Suite A11
Aurora, IL 60504-5162
Phone (630) 820-1330
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7282480 | Other | IL | DR BORRE ID-AETNA |
| 996513 | Other | IL | GALAXY |
| 02232251 | Other | IL | BLUE CROSS BLUE SHIELD |
| 2122346216301 | Other | IL | BEECH STREET |
| 6937 | Other | IL | UNITED HEALTH SERVICE |
| 038009855 | Medicaid | IL | |
| 661636 | Other | IL | AMERICAN CHIROPRACTIC NET |
| 7466464 | Other | IL | CLINIC ID-AETNA |
| 660636 | Other | IL | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038009855 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1821160698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 E NEW YORK ST",
"address_2": "SUITE A11",
"city": "AURORA",
"state": "IL",
"postal_code": "605045162",
"telephone_number": "630-820-1330",
"fax_number": "630-820-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 E NEW YORK ST",
"address_2": "SUITE A11",
"city": "AURORA",
"state": "IL",
"postal_code": "605045162",
"telephone_number": "630-820-1330",
"fax_number": "630-820-1554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORRE",
"first_name": "AMANDA",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038009855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR BORRE ID-AETNA",
"identifier": "7282480",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GALAXY",
"identifier": "996513",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "02232251",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "2122346216301",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH SERVICE",
"identifier": "6937",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038009855",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN CHIROPRACTIC NET",
"identifier": "661636",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINIC ID-AETNA",
"identifier": "7466464",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "660636",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.