Individual provider Active NPI

Ty D Biggs, DC

  • Chiropractor
  • Harrisburg, IL
National Provider Identifier
1154522068
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010955 Issued in IL
Practice address
300 Small St
Ste. 3
Harrisburg, IL 62946-3325
Phone
(618) 252-5555
Fax
(618) 252-2279
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

322 N Main St
Bristow, OK 74010-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20100226000325 OK Practitioner - Chiropractic 7416058995 Reassigns benefits to 1 organization
I20250604001501 TX Practitioner - Chiropractic 7416058995 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038010955ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince May 7, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince May 7, 2025 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Integrated Health of Southern Illinois, LTD. Chiropractor Past Accepting new patients
Integrated Health of Southern Illinois Chiropractor Past Accepting new patients

Locations

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

Dept 1467
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26231/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010955 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

300 Small St
Ste. 3
Harrisburg, IL 62946-3325

Mailing address

300 Small St
Ste. 3
Harrisburg, IL 62946-3325
Phone (618) 252-5555

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
038-010955OtherILLICENSE NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2008.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1154522068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SMALL ST",
            "address_2": "STE. 3",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629463325",
            "telephone_number": "618-252-5555",
            "fax_number": "618-252-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SMALL ST",
            "address_2": "STE. 3",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629463325",
            "telephone_number": "618-252-5555",
            "fax_number": "618-252-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGGS",
        "first_name": "TY",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "038-010955",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.

Verify at the official NPI Registry.