Performance Chiropractic, P.C.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

038-010143 Issued in IL

Legal business name

PERFORMANCE CHIROPRACTIC, P.C.

Practice address

1605 W Wilson St
Suite 114
Batavia, IL 60510-1627

Phone

(630) 761-9702

Fax

(630) 444-1855

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Jay Bletzinger, D.C.

Title

President

Phone

(630) 761-9702

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1871548859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 W WILSON ST",
            "address_2": "SUITE 114",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101627",
            "telephone_number": "630-761-9702",
            "fax_number": "630-444-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 W WILSON ST",
            "address_2": "SUITE 114",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101627",
            "telephone_number": "630-761-9702",
            "fax_number": "630-444-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "BLETZINGER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-761-9702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "038-010143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Batavia, IL
• Providers in Batavia, IL by specialty
• Preferred Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.