Individual provider Active NPI

Nathan Christian Thompson, D.C.

  • Chiropractor
  • Yorkville, IL
National Provider Identifier
1568460632
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009966 Issued in IL
Practice address
664 W Veterans Pkwy
Suite a
Yorkville, IL 60560-4567
Phone
(630) 553-6149
Fax
(630) 553-9458
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009966 IL Primary

Addresses

Primary practice location

664 W Veterans Pkwy
Suite a
Yorkville, IL 60560-4567

Mailing address

664 W Veterans Pkwy
Suite a
Yorkville, IL 60560-4567
Phone (630) 553-6149

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311001041 IL Practitioner - Chiropractic 4385533009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

728 E Veterans Pkwy
Suite 115
Yorkville, IL 60560-1980
Phone (630) 553-6149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009966ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Chiropractic Clinic, Inc. Chiropractor CurrentSince Mar 1, 2004 Accepting new patients

Locations

664 W Veterans Pkwy
Ste A
Yorkville, IL 60560
Phone (630) 553-6149

728 E Veterans Pkwy
Ste 115
Yorkville, IL 60560
Phone (630) 553-6149

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1568460632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 W VETERANS PKWY",
            "address_2": "SUITE A",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605604567",
            "telephone_number": "630-553-6149",
            "fax_number": "630-553-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 W VETERANS PKWY",
            "address_2": "SUITE A",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605604567",
            "telephone_number": "630-553-6149",
            "fax_number": "630-553-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NATHAN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.