Individual provider Active NPI

Thomas Dace

  • Chiropractor
  • Rockford, IL
National Provider Identifier
1710564604
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013698 Issued in IL
Practice address
1877 Daimler Rd
Rockford, IL 61112-1005
Phone
(815) 398-3434
Fax
(815) 398-3548
NPI assigned
Mar 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013698 IL Primary

Addresses

Primary practice location

1877 Daimler Rd
Rockford, IL 61112-1005

Mailing address

1877 Daimler Rd
Rockford, IL 61112-1005
Phone (815) 398-3434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610003500 IL Practitioner - Chiropractic 0143620252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precise Chiropractic CenterGroup PAC ID 9133138951, 3 clinicians

Practice addresses (Care Compare)

4581 Princeton LN
Suite 119
Lake in the Hills, IL 60156-6769
Phone (847) 669-6888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hulsebus Rockford Chiropractic Chiropractor CurrentSince May 1, 2021 Accepting new patients
Precise Chiropractic Center Chiropractor CurrentSince Jul 24, 2025 Accepting new patients

Locations

4581 Princeton Ln
Ste 119
Lk in the Hls, IL 60156
Phone (847) 669-6888

1877 Daimler Rd
Rockford, IL 61112
Phone (815) 398-3434

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1710564604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 DAIMLER RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121005",
            "telephone_number": "815-398-3434",
            "fax_number": "815-398-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1877 DAIMLER RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121005",
            "telephone_number": "815-398-3434",
            "fax_number": "815-398-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACE",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.