Pitkin Family Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007454 Issued in IL

Legal business name

PITKIN FAMILY CHIROPRACTIC INC.

Practice address

101 West Second Street
Suite 207
Dixon, IL 61021-0648

Phone

(815) 288-7911

Fax

(815) 288-6387

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Wayne Pitkin, D.C.NPI 1952368227

Title

President

Phone

(815) 288-7911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Wayne Pitkin, DC

  • Chiropractor
  • Dixon, IL
  • NPI 1952368227
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1922383181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WEST SECOND STREET",
            "address_2": "SUITE 207",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610210648",
            "telephone_number": "815-288-7911",
            "fax_number": "815-288-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEST SECOND STREET",
            "address_2": "SUITE 207",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610210648",
            "telephone_number": "815-288-7911",
            "fax_number": "815-288-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITKIN FAMILY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "PITKIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-288-7911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Violet-Mary Picatto
• Alyssa Pierce, RBT
• James Michael Pietryga
• Steven R Piller, D.C.
• Novin Pishevar, DMD
• Kenneth Wayne Pitkin, DC
• Pitman Chiropractic Clinics Inc.
• Trista L Pitman, D.C. D.I.C.C.P.
• Brandi Marie Pitts
• Megan Podkulski, RBT

• Chiropractor in Dixon, IL
• Providers in Dixon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.