Individual provider Active NPI

Daniel Patrick Farrell, D.C.

  • Chiropractor
  • Ottawa, IL
National Provider Identifier
1568575744
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
221 W Etna Rd
Suite 6
Ottawa, IL 61350-5613
Phone
(815) 431-8303
Fax
(815) 431-8327
NPI assigned
Aug 15, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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

221 W Etna Rd
Suite 6
Ottawa, IL 61350-5613

Mailing address

221 W Etna Rd
Suite 6
Ottawa, IL 61350-5613
Phone (815) 431-8303

Other identifiers 3

IdentifierTypeStateIssuer
9395826OtherILPHCS PROVIDER #
5032034OtherILBC/BS PROVIDER #
2217577OtherILFIRST HEALTH PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000998 IL Practitioner - Chiropractic 1052398252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ottawa ChiropracticGroup PAC ID 2961638960, 3 clinicians

Practice addresses (Care Compare)

1001 Clinton St
Ottawa, IL 61350-2039
Phone (815) 431-8303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009934ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ottawa Chiropractic Chiropractor CurrentSince Oct 1, 2013 Accepting new patients
Bodycare Chiropractic of Ottawa S.C. Chiropractor PastSince Oct 1, 2013 Accepting new patients

Locations

1001 Clinton St
Ottawa, IL 61350
Phone (815) 431-8303

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1568575744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W ETNA RD",
            "address_2": "SUITE 6",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613505613",
            "telephone_number": "815-431-8303",
            "fax_number": "815-431-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W ETNA RD",
            "address_2": "SUITE 6",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613505613",
            "telephone_number": "815-431-8303",
            "fax_number": "815-431-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "DANIEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PROVIDER #",
            "identifier": "9395826",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "5032034",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PROVIDER #",
            "identifier": "2217577",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.