Active NPI
Thomas Mitchell, DC
- Chiropractor
- West Dundee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009968
- Practice address
- 999 W Main St
West Dundee, IL 60118-2082 - Phone
- (847) 428-8850
- NPI assigned
- May 24, 2006
- Last updated
- Jul 15, 2020
- 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 | 038009968 | IL | Primary |
Addresses
Primary practice location
999 W Main St
West Dundee, IL 60118-2082
Mailing address
999 W Main St
West Dundee, IL 60118-2082
Phone (224) 535-8707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
999 W Main St
Suite 100
West Dundee, IL 60118-2082
Phone (224) 535-8707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038009968 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Chiropractic Group LTD | Chiropractor | Current | Accepting new patients |
| Titan Medical Associates LTD. | Current | Accepting new patients | |
| Dr. David C. Kolbaba & Associates, Inc | Past | Accepting new patients | |
| Greater Barrington Family Health Center, P.C. | Past | Accepting new patients | |
| Chicago Neuroscience & Spine Institute, LLC | Chiropractor | Past | Accepting new patients |
Locations
999 W Main St
West Dundee, IL 60118
Phone (224) 535-8707
999 W Main St
Ste 100
West Dundee, IL 60118
Phone (224) 535-8707
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1336194679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 W MAIN ST",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601182082",
"telephone_number": "224-535-8707",
"fax_number": "224-535-8743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 W MAIN ST",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601182082",
"telephone_number": "847-428-8850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "THOMAS",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038009968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Dundee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.