Individual provider Active NPI

Thomas John Lindstrom, D.C.

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1346249679
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-004507 Issued in IL
Practice address
1965 W Downer PL
Ste 201
Aurora, IL 60506-4379
Phone
(630) 896-3377
Fax
(630) 896-2120
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-004507 IL Primary

Addresses

Primary practice location

1965 W Downer PL
Ste 201
Aurora, IL 60506-4379

Mailing address

1965 W Downer PL
Ste 201
Aurora, IL 60506-4379
Phone (630) 896-3377

Other identifiers 3

IdentifierTypeStateIssuer
04515187OtherILBCBS
4532710OtherILBCBS
350038827OtherILRAIL ROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000262 IL Practitioner - Chiropractic 0749180602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1965 W Downer PL
Suite 201
Aurora, IL 60506-4385
Phone (630) 896-3377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-004507ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J Lindstrom PC Inc Chiropractor CurrentSince Mar 1, 1982 Accepting new patients

Locations

1965 W Downer Pl
Ste 201
Aurora, IL 60506
Phone (630) 896-3377

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1346249679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 W DOWNER PL",
            "address_2": "STE 201",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064379",
            "telephone_number": "630-896-3377",
            "fax_number": "630-896-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 W DOWNER PL",
            "address_2": "STE 201",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064379",
            "telephone_number": "630-896-3377",
            "fax_number": "630-896-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-004507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04515187",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4532710",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "350038827",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.