Individual provider Active NPI

Thomas Scott McNulty, D.C.

  • Chiropractor
  • Highland Park, IL
National Provider Identifier
1245315506
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
210 Skokie Valley Rd
Suite 7
Highland Park, IL 60035-4464
Phone
(847) 831-5252
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 IL Primary

Addresses

Primary practice location

210 Skokie Valley Rd
Suite 7
Highland Park, IL 60035-4464

Mailing address

210 Skokie Valley Rd
Suite 7
Highland Park, IL 60035-4464
Phone (847) 831-5252

Other identifiers 1

IdentifierTypeStateIssuer
049-05536OtherILBC/BS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091207000068 IL Practitioner - Chiropractic 9931116019 Reassigns benefits to 1 organization
I20180403000356 CO Practitioner - Chiropractic 9931116019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 Skokie Valley Rd
Suite 7
Highland Park, IL 60035-4464
Phone (847) 831-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-007251ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Plus, PC Chiropractor CurrentSince Feb 20, 2018 Accepting new patients
Chiropractic Centre of Highland Park, Inc Chiropractor CurrentSince Sep 1, 2002 Accepting new patients

Locations

550 Thornton Pkwy
Unit 178
Thornton, CO 80229
Phone (303) 254-8430

210 Skokie Valley Rd
Ste 7
Highland Park, IL 60035
Phone (847) 266-7246

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245315506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SKOKIE VALLEY RD",
            "address_2": "SUITE 7",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354464",
            "telephone_number": "847-831-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SKOKIE VALLEY RD",
            "address_2": "SUITE 7",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354464",
            "telephone_number": "847-831-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "THOMAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "049-05536",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.