Active NPI
Brett D. Tarr, D.C.
- Chiropractor
- Newton, IL
National Provider Identifier
1932283843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 1301 W Jourdan St
Newton, IL 62448-2000 - Phone
- (618) 783-5900
- Fax
- (618) 783-3113
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
1301 W Jourdan St
Newton, IL 62448-2000
Mailing address
1301 W Jourdan St
Newton, IL 62448-2000
Phone (618) 783-5900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037-1368797 | Other | IL | TAX ID NUMBER |
| 4022138 | Other | IL | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1301 W Jourdan St
Newton, IL 62448-2000
Phone (618) 783-5900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-008071 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tarr Chiropractic Clinic Inc | Chiropractor | Current | Accepting new patients |
Locations
1301 W Jourdan St
Newton, IL 62448
Phone (618) 783-5900
Interoperability endpoints
- dr@tcc0002.direct.chirotouch.md
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.
-
- Chiropractor
- Newton, IL
- NPI 1225545676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932283843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W JOURDAN ST",
"city": "NEWTON",
"state": "IL",
"postal_code": "624482000",
"telephone_number": "618-783-5900",
"fax_number": "618-783-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W JOURDAN ST",
"city": "NEWTON",
"state": "IL",
"postal_code": "624482000",
"telephone_number": "618-783-5900",
"fax_number": "618-783-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARR",
"first_name": "BRETT",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID NUMBER",
"identifier": "037-1368797",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "4022138",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.