Active NPI
Vijay Rock Puri, DC
- Chiropractor
- Moline, IL
National Provider Identifier
1831154434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 3913 15TH Street D
Moline, IL 61265 - Phone
- (309) 797-4062
- Fax
- (309) 797-3795
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- 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 | IL | Primary |
Addresses
Primary practice location
3913 15TH Street D
Moline, IL 61265
Mailing address
3913 15TH Street D
Moline, IL 61265
Phone (309) 797-4062
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5652720 | Other | IL | FIRST HEALTH |
| 8132087 | Other | IL | BLUE CROSS |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039010461 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vijay Puri DC PC | Chiropractor | Past | Accepting new patients |
| Bridgeway Inc | Past | Accepting new patients | |
| Thomas a. Spielman, D.C., P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
- Chiropractor
- Erie, IL
- NPI 1548562317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831154434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3913 15TH STREET D",
"city": "MOLINE",
"state": "IL",
"postal_code": "61265",
"telephone_number": "309-797-4062",
"fax_number": "309-797-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3913 15TH STREET D",
"city": "MOLINE",
"state": "IL",
"postal_code": "61265",
"telephone_number": "309-797-4062",
"fax_number": "309-797-3795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURI",
"first_name": "VIJAY",
"middle_name": "ROCK",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5652720",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8132087",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.