Individual provider Active NPI

Thomas Mark Schill, D.C.

  • Chiropractor
  • Bend, OR
National Provider Identifier
1881724953
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273205 Issued in OR
Practice address
371 SW Upper Terrace Dr
Suite 2
Bend, OR 97702-1560
Phone
(541) 678-0010
Fax
(541) 323-6131
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 273205 OR Primary

Addresses

Primary practice location

371 SW Upper Terrace Dr
Suite 2
Bend, OR 97702-1560

Mailing address

PO Box 1550
Bend, OR 97709-1550
Phone (541) 678-0010

Other identifiers 1

IdentifierTypeStateIssuer
500668352MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140306001972 OR Practitioner - Chiropractic 1850521162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Mark Schill DC PCGroup PAC ID 0941430250, 2 clinicians

Practice addresses (Care Compare)

371 SW Upper Terrace Dr
Bend, OR 97702-1560
Phone (541) 678-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
273205ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Mark Schill DC PC Chiropractor CurrentSince Nov 14, 2013 Accepting new patients

Locations

371 SW Upper Terrace Dr
Bend, OR 97702
Phone (541) 617-0377

371 SW Upper Terrace Dr
Ste 2
Bend, OR 97702
Phone (541) 678-0010

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, 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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1881724953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1550",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977091550",
            "telephone_number": "541-678-0010",
            "fax_number": "541-323-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 SW UPPER TERRACE DR",
            "address_2": "SUITE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021560",
            "telephone_number": "541-678-0010",
            "fax_number": "541-323-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILL",
        "first_name": "THOMAS",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500668352",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.