Individual provider Active NPI

Jennifer Lee Rockwood, DC

  • Chiropractor
  • Lake Zurich, IL
National Provider Identifier
1962546630
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007760 Issued in IL
Practice address
900 W Il Route 22
Suite 160
Lake Zurich, IL 60047-3416
Phone
(847) 719-5800
Fax
(847) 847-1442
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-007760 IL Primary

Addresses

Primary practice location

900 W Il Route 22
Suite 160
Lake Zurich, IL 60047-3416

Mailing address

900 W Il Route 22
Suite 160
Lake Zurich, IL 60047-3416
Phone (847) 719-5800

Other identifiers 1

IdentifierTypeStateIssuer
0034940786OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Jennifer Lee Rockwood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038-007760ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1962546630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W IL ROUTE 22",
            "address_2": "SUITE 160",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473416",
            "telephone_number": "847-719-5800",
            "fax_number": "847-847-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W IL ROUTE 22",
            "address_2": "SUITE 160",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473416",
            "telephone_number": "847-719-5800",
            "fax_number": "847-847-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKWOOD",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0034940786",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ROCKWOOD",
            "middle_name": "LEE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.