Individual provider Active NPI

Scott L. Nims, D.C.

  • Chiropractor
  • Bourbonnais, IL
National Provider Identifier
1427365469
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-011764 Issued in IL
Practice address
232 Main St NW
Suite 201
Bourbonnais, IL 60914-1938
Phone
(815) 939-4900
Fax
(815) 939-4951
NPI assigned
Sep 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-011764 IL Primary

Addresses

Primary practice location

232 Main St NW
Suite 201
Bourbonnais, IL 60914-1938

Mailing address

232 Main St NW
Suite 201
Bourbonnais, IL 60914-1938
Phone (815) 939-4900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110115000071 IL Practitioner - Chiropractic 3678762028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nims Chiropractic LTDGroup PAC ID 4082182613, 3 clinicians

Practice addresses (Care Compare)

232 Main St NW
Suite 201
Bourbonnais, IL 60914-1877
Phone (815) 939-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-011764ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nims Chiropractic LTD. Chiropractor CurrentSince Apr 4, 2026 Accepting new patients
Koehler Sports & Spinal Rehab LTD Chiropractor CurrentSince Sep 13, 2010 Accepting new patients

Locations

232 Main St NW
Bourbonnais, IL 60914
Phone (217) 355-9554

232 Main St NW
Ste 201
Bourbonnais, IL 60914
Phone (815) 939-4900

Organizations & group practices 2

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1427365469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MAIN ST NW",
            "address_2": "SUITE 201",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141938",
            "telephone_number": "815-939-4900",
            "fax_number": "815-939-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MAIN ST NW",
            "address_2": "SUITE 201",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141938",
            "telephone_number": "815-939-4900",
            "fax_number": "815-939-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMS",
        "first_name": "SCOTT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-011764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.