Active NPI
Thomas Daniel Huyvaert, DC LAC
- Chiropractor
- Glendale Heights, IL
National Provider Identifier
1518971902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038004730
- Practice address
- 1142 Main St
Glendale Heights, IL 60139-3506 - Phone
- (630) 790-0030
- Fax
- (630) 790-2086
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038004730 | IL | Primary |
| Acupuncturist | 171100000X | 198000187 | IL |
Addresses
Primary practice location
1142 Main St
Glendale Heights, IL 60139-3506
Mailing address
1142 Main St
Glendale Heights, IL 60139-3506
Phone (630) 790-0030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02215409 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1142 N Main St
Glendale Heights, IL 60139-3506
Phone (630) 790-0030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038004730 | IL | MD | Chiropractor |
| 198000187 | IL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huyvaert Clinic of Chiropractic LTD | Chiropractor | Current | Accepting new patients |
Locations
1142 N Main St
Glendale Hts, IL 60139
Phone (630) 790-0030
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.
-
- Chiropractor
- Glendale Heights, IL
- NPI 1144492513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1518971902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 MAIN ST",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601393506",
"telephone_number": "630-790-0030",
"fax_number": "630-790-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 MAIN ST",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601393506",
"telephone_number": "630-790-0030",
"fax_number": "630-790-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYVAERT",
"first_name": "THOMAS",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DC LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038004730",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198000187",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02215409",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.