Active NPI
Thomas W Roland, D.C.
- Chiropractor
- Orland Park, IL
National Provider Identifier
1316010044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 10600 W 143Rd St
Orland Park, IL 60462-1985 - Phone
- (708) 349-7887
- Fax
- (708) 349-8707
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
10600 W 143Rd St
Orland Park, IL 60462-1985
Mailing address
14739 Maple Ave
Orland Park, IL 60462-3431
Phone (708) 349-2621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01632992 | Other | IL | BLUE CROSS PROVIDER NBR |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-003373 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas W. Roland, D.C., LTD. | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Orland Park, IL
- NPI 1184804346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316010044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14739 MAPLE AVE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623431",
"telephone_number": "708-349-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 W 143RD ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604621985",
"telephone_number": "708-349-7887",
"fax_number": "708-349-8707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLAND",
"first_name": "THOMAS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NBR",
"identifier": "01632992",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, 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.