Individual provider Active NPI

James R Thwaits, D.C.

  • Chiropractor
  • Syracuse, IN
National Provider Identifier
1174654909
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000753A Issued in IN
Practice address
502 N Huntington St
Syracuse, IN 46567-1224
Phone
(574) 457-7177
Fax
(574) 457-7177
NPI assigned
Mar 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08000753A IN Primary

Addresses

Primary practice location

502 N Huntington St
Syracuse, IN 46567-1224

Mailing address

502 N Huntington St
Syracuse, IN 46567-1224
Phone (574) 457-7177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000412 IN Practitioner - Chiropractic 5193892123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

502 N Huntington St
Syracuse, IN 46567-1224
Phone (574) 457-7177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08000753AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
James R. Thwaits LLC Chiropractor CurrentSince Aug 2, 2018 Accepting new patients

Locations

502 N Huntington St
Syracuse, IN 46567
Phone (574) 457-7177

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174654909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N HUNTINGTON ST",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671224",
            "telephone_number": "574-457-7177",
            "fax_number": "574-457-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N HUNTINGTON ST",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671224",
            "telephone_number": "574-457-7177",
            "fax_number": "574-457-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THWAITS",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000753A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, IN

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.
  • 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.