Organization Active NPI

J.R. Rosser, Jr. D.C, S.C.

  • Chiropractor
  • South Elgin, IL
National Provider Identifier
1932380607
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-003342 Issued in IL
Legal business name
J.R. ROSSER, JR. D.C, S.C.
Practice address
1276 W Spring St
South Elgin, IL 60177-3304
Phone
(847) 741-6400
Fax
(847) 741-6926
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Dr. John R. Rosser, D.C.NPI 1164471264
Title
Owner
Phone
(847) 741-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-003342 IL Primary

Addresses

Primary practice location

1276 W Spring St
South Elgin, IL 60177-3304

Mailing address

1276 W Spring St
Suite B
South Elgin, IL 60177-3304
Phone (847) 741-6400

Other identifiers 1

IdentifierTypeStateIssuer
4515124OtherILBCBS IL

National Provider Directory

National Provider Directory

Locations

1276 W Spring St
Ste B
South Elgin, IL 60177
Phone (847) 741-6400

1276 W Spring St
South Elgin, IL 60177
Phone (847) 468-1206

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1932380607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 W SPRING ST",
            "address_2": "SUITE B",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773304",
            "telephone_number": "847-741-6400",
            "fax_number": "847-741-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 W SPRING ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773304",
            "telephone_number": "847-741-6400",
            "fax_number": "847-741-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.R. ROSSER, JR. D.C, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "ROSSER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-741-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-003342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "4515124",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.