NPIMap

Organization Active NPI

Thedr.Com

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1386924652
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THEDR.COM
Practice address
6749 N Lakewood Ave
Suite 3-N
Chicago, IL 60626-4335
Phone
(877) 458-8361
Fax
(877) 458-7656
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Dr. Thomas O'Bryan, DC, CCN, DACBN
Title
Chief Science Officer, President
Phone
(877) 458-8361

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X IL
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

6749 N Lakewood Ave
Suite 3-N
Chicago, IL 60626-4335

Mailing address

6749 N Lakewood Ave
Suite 3-N
Chicago, IL 60626-4335
Phone (877) 458-8361

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1386924652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6749 N LAKEWOOD AVE",
            "address_2": "SUITE 3-N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264335",
            "telephone_number": "877-458-8361",
            "fax_number": "877-458-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6749 N LAKEWOOD AVE",
            "address_2": "SUITE 3-N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264335",
            "telephone_number": "877-458-8361",
            "fax_number": "877-458-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEDR.COM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "O'BRYAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF SCIENCE OFFICER, PRESIDENT",
        "authorized_official_telephone_number": "877-458-8361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCN, DACBN"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.