Individual provider Active NPI

Jason Croxford, DC

  • Chiropractor
  • Rockford, IL
National Provider Identifier
1922093467
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009573 Issued in IL
Practice address
6451 E Riverside Blvd
Rockford, IL 61114-4421
Phone
(815) 639-9900
Fax
(815) 639-9860
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009573 IL Primary

Addresses

Primary practice location

6451 E Riverside Blvd
Rockford, IL 61114-4421

Mailing address

6451 E Riverside Blvd
Rockford, IL 61114-4421
Phone (815) 639-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422001002 IL Practitioner - Chiropractic 8426096074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cevene Care Clinic IncGroup PAC ID 0446208458, 4 clinicians

Practice addresses (Care Compare)

6451 E Riverside Blvd
Suite 103
Rockford, IL 61114-4402
Phone (815) 639-9900

6451 E Riverside Blvd
Suite 103
Rockford, IL 61114-4421

Merit-based Incentive Payment System (MIPS)

Final score
85.1 of 100Reported as group
Quality
95
Promoting interoperability
82
Improvement activities
40
Cost
70.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cevene Care Clinic, Inc Chiropractor CurrentSince May 6, 2009 Accepting new patients
Neck to Back Rockford LLC Past Accepting new patients
Neck to Back Peoria LLC Chiropractor Past Accepting new patients
Cherne Care Clinic, SC Chiropractor PastSince Dec 18, 2012 Accepting new patients
Spinal Rehabilitation and Wellness Clinic, LLC Chiropractor Past Accepting new patients
Dr. Mary White PC Past Accepting new patients

Locations

6451 E Riverside Blvd
Ste 103
Rockford, IL 61114
Phone (815) 639-9900

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1922093467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 E RIVERSIDE BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-639-9900",
            "fax_number": "815-639-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 E RIVERSIDE BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-639-9900",
            "fax_number": "815-639-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROXFORD",
        "first_name": "JASON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.