Organization Active NPI

James R. Thwaits LLC

Doing business as Thwaits Chiropractic

  • Chiropractor
  • Syracuse, IN
National Provider Identifier
1386123727
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
753 Issued in IN
Legal business name
JAMES R. THWAITS LLC
Doing business as
Thwaits Chiropractic
Practice address
502 N Huntington St
Syracuse, IN 46567-1224
Phone
(574) 457-7177
Fax
(574) 457-7177
NPI assigned
Aug 7, 2018
Last updated
Sep 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Dr. James R Thwaits, DCNPI 1174654909
Title
Owner
Phone
(745) 457-7177

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 753 IN Primary

Addresses

Primary practice location

502 N Huntington St
Syracuse, IN 46567-1224

Mailing address

502 N Huntington St
Syracuse, IN 46567-1224
Phone (574) 457-7177

Other names 1

  • Thwaits Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180921003015 IN Part B Supplier - Clinic/Group Practice 0042561540 Receives reassigned benefits from 1 practitioner
Practice locations: Syracuse, IN

National Provider Directory

National Provider Directory

Locations

502 N Huntington St
Syracuse, IN 46567
Phone (574) 457-7177

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": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1386123727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N HUNTINGTON ST",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671224",
            "telephone_number": "574-457-7177",
            "fax_number": "574-457-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N HUNTINGTON ST",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671224",
            "telephone_number": "574-457-7177",
            "fax_number": "574-457-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. THWAITS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "THWAITS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "745-457-7177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thwaits Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.