Individual provider Active NPI

Donald D McClure, D.C.

  • Chiropractor
  • Bartlett, IL
National Provider Identifier
1487756185
Registry record updated Dec 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
111 W Railroad Ave
Bartlett, IL 60103-4498
Phone
(630) 837-3090
Fax
(630) 837-3053
NPI assigned
Sep 2, 2006
Last updated
Dec 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

111 W Railroad Ave
Bartlett, IL 60103-4498

Mailing address

111 W Railroad Ave
Bartlett, IL 60103-4498
Phone (630) 837-3090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110000440 IL Practitioner - Chiropractic 0143283184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 W Railroad Ave
Bartlett, IL 60103-4498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McClure Chiropractic and Acupuncture, P.C. Chiropractor CurrentSince Sep 1, 2004 Accepting new patients
Adjust Chiropractic LLC Chiropractor PastSince Nov 1, 2004 Accepting new patients

Locations

111 W Railroad Ave
Bartlett, IL 60103
Phone (618) 203-3132

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196553600000",
    "number": "1487756185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W RAILROAD AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034498",
            "telephone_number": "630-837-3090",
            "fax_number": "630-837-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W RAILROAD AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034498",
            "telephone_number": "630-837-3090",
            "fax_number": "630-837-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "DONALD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2007; 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.