Organization Active NPI

Tarr Chiropractic Clinic Inc

  • Chiropractor
  • Newton, IL
National Provider Identifier
1225545676
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008071 Issued in IL
Legal business name
TARR CHIROPRACTIC CLINIC INC
Practice address
1301 W Jourdan St
Newton, IL 62448-2000
Phone
(618) 783-5900
Fax
(618) 783-3113
NPI assigned
Jan 8, 2018
Last updated
Jan 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Dr. Brett Delaine Tarr, DCNPI 1932283843
Title
President/Owner
Phone
(618) 783-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008071 IL Primary

Addresses

Primary practice location

1301 W Jourdan St
Newton, IL 62448-2000

Mailing address

1301 W Jourdan St
Newton, IL 62448-2000
Phone (618) 783-5900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180427000258 IL Part B Supplier - Clinic/Group Practice 9537429717 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, IL

National Provider Directory

National Provider Directory

Locations

1301 W Jourdan St
Newton, IL 62448
Phone (618) 783-5900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1225545676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W JOURDAN ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624482000",
            "telephone_number": "618-783-5900",
            "fax_number": "618-783-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W JOURDAN ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624482000",
            "telephone_number": "618-783-5900",
            "fax_number": "618-783-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARR CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "TARR",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "DELAINE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "618-783-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.