Active NPI
T Scott Yoder, DC, CCSP
- Sports Physician Chiropractor
- Lansing, IL
National Provider Identifier
1093828089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Practice address
- 18525 Torrence Ave Ste F3
Lansing, IL 60438-2891 - Phone
- (708) 418-5505
- Fax
- (708) 418-5531
- NPI assigned
- Aug 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | IL | Primary |
Addresses
Primary practice location
18525 Torrence Ave Ste F3
Lansing, IL 60438-2891
Mailing address
18525 Torrence Ave Ste F3
Lansing, IL 60438-2891
Phone (708) 418-5505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21622585 | Other | IL | BLUE CROSS/ BLUE SHIELD |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-007368 | IL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Chiropractic-Lansing, PC | Past | Accepting new patients | |
| Suburban Chiropractic & Rehab LTD | Sports Physician | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Lansing, IL
- NPI 1679743900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093828089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18525 TORRENCE AVE STE F3",
"city": "LANSING",
"state": "IL",
"postal_code": "604382891",
"telephone_number": "708-418-5505",
"fax_number": "708-418-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18525 TORRENCE AVE STE F3",
"city": "LANSING",
"state": "IL",
"postal_code": "604382891",
"telephone_number": "708-418-5505",
"fax_number": "708-418-5531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODER",
"first_name": "T",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DC, CCSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "21622585",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.