David M Thayer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009512 Issued in IL

Practice address

340 S Fillmore St
Edwardsville, IL 62025-2115

Phone

(618) 692-6700

Fax

(618) 692-9772

NPI assigned

Mar 10, 2006

Last updated

May 11, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Medical Group LTDGroup PAC ID 9032118286, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrated Medical Group LTD

  • Chiropractor
  • Edwardsville, IL
  • NPI 1487750691
  Medicare reassignment Care Compare group NPD Authorized official
• Southern Illinois Physicians Group LTD

  • Chiropractor
  • Greenville, IL
  • NPI 1326411927
  Medicare reassignment NPD Authorized official
• Integrated Medical Group

  • Chiropractor
  • O'Fallon, IL
  • NPI 1255530259
  NPD (past) Authorized official
• Integrated Medical Group

  • Rehabilitation Clinic/Center
  • Edwardsville, IL
  • NPI 1982760278
  NPD (past) Authorized official
• Integrated Medical Group LTD

  • Chiropractor
  • Edwardsville, IL
  • NPI 1619176054
  NPD (past) Authorized official
• Integrated Medical Group LTD

  • Chiropractor
  • Glen Carbon, IL
  • NPI 1871984336
  NPD (past) Authorized official
• Integrated Medical Group LTD

  • Chiropractor
  • Highland, IL
  • NPI 1962601385
  NPD (past) Authorized official
• Integrated Medical Group, LTD

  • Customized Equipment (DME)
  • Edwardsville, IL
  • NPI 1023175098
  NPD (past) Authorized official
• Integrated Medical Group, LTD

  • Durable Medical Equipment & Medical Supplies
  • O'Fallon, IL
  • NPI 1881730414
  NPD (past) Authorized official
• Integrated Medical Group, LTD

  • Durable Medical Equipment & Medical Supplies
  • Highland, IL
  • NPI 1942356290
  NPD (past) Authorized official
• Midwest Phyisician Associates LTD

  • General Practice Physician
  • Glen Carbon, IL
  • NPI 1205291846
  Authorized official Same address or phone

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1689642951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620250997",
            "telephone_number": "618-692-6700",
            "fax_number": "618-692-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S FILLMORE ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252115",
            "telephone_number": "618-692-6700",
            "fax_number": "618-692-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.