Active NPI
Kory L. Spear, D.C.
- Chiropractor
- Rockford, IL
National Provider Identifier
1952380552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009737
- Practice address
- 7326 N. Cherryvale Dr.
Rockford, IL 61112-1059 - Phone
- (815) 394-9805
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 038009737 | IL | Primary |
Addresses
Primary practice location
7326 N. Cherryvale Dr.
Rockford, IL 61112-1059
Mailing address
7326 N. Cherryvale Drive
Rockford, IL 61112-1059
Phone (815) 394-9805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038009737 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031222000095 | IL | Practitioner - Chiropractic | 9133027774 | Practice locations: Rockford, IL; Stillman Valley, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4831 Colt Rd
Rockford, IL 61109-2611
Phone (815) 580-8081
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedlund Family Chiropratic LTD | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Winnebago, IL
- NPI 1760682827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383177600000",
"number": "1952380552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7326 N. CHERRYVALE DRIVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611121059",
"telephone_number": "815-394-9805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7326 N. CHERRYVALE DR.",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611121059",
"telephone_number": "815-394-9805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAR",
"first_name": "KORY",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2013-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038009737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038009737",
"state": "IL"
}
],
"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 31, 2013; 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.