Individual provider Active NPI

Brett D. Tarr, D.C.

  • Chiropractor
  • Newton, IL
National Provider Identifier
1932283843
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
037-1368797OtherILTAX ID NUMBER
4022138OtherILBLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120524000400 IL Practitioner - Chiropractic 9032372347 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
038-008071ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tarr Chiropractic Clinic Inc Chiropractor CurrentSince Jan 1, 2018 Accepting new patients

Locations

1301 W Jourdan St
Newton, IL 62448
Phone (618) 783-5900

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.