Individual provider Active NPI

Paul McCarthy, DC

  • Chiropractor
  • Plainfield, IL
National Provider Identifier
1609131341
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012972 Issued in IL
Practice address
13520 S Route 59
Suite 100
Plainfield, IL 60544-5545
Phone
(815) 439-9800
Fax
(815) 439-9804
NPI assigned
Jul 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012972 IL Primary

Addresses

Primary practice location

13520 S Route 59
Suite 100
Plainfield, IL 60544-5545

Mailing address

13520 S Route 59
Suite 100
Plainfield, IL 60544-5545
Phone (815) 439-9800

Other identifiers 1

IdentifierTypeStateIssuer
038008938OtherILLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921002396 IL Practitioner - Chiropractic 3678723194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13520 S Route 59
Suite 100
Plainfield, IL 60544-5546
Phone (815) 439-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012972ILMDChiropractor
1724NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Chiropractic & Sports Medicine, LTD Chiropractor CurrentSince Jul 18, 2016 Accepting new patients

Locations

13520 S Route 59
Ste 100
Plainfield, IL 60544
Phone (815) 439-9800

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1609131341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13520 S ROUTE 59",
            "address_2": "SUITE 100",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445545",
            "telephone_number": "815-439-9800",
            "fax_number": "815-439-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13520 S ROUTE 59",
            "address_2": "SUITE 100",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445545",
            "telephone_number": "815-439-9800",
            "fax_number": "815-439-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "038008938",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.