Individual provider Active NPI

Scott A. Stear, DC

  • Chiropractor
  • Machesney Park, IL
National Provider Identifier
1992819551
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
1010 Harlem Rd
Machesney Park, IL 61115-2518
Phone
(815) 654-1044
Fax
(815) 639-3529
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

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

1010 Harlem Rd
Machesney Park, IL 61115-2518

Mailing address

1010 Harlem Rd
Machesney Park, IL 61115-2518
Phone (815) 654-1044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000764 IL Practitioner - Chiropractic 8820055767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Hulsebus Machesney Park Chiropractic LLCGroup PAC ID 7517114895, 4 clinicians

Practice addresses (Care Compare)

1010 Harlem Rd
Machesney Park, IL 61115-2518
Phone (815) 654-1044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-006481ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hulsebus Machesney Park Chiropractic LLC Chiropractor CurrentSince Jul 9, 2012 Accepting new patients
James P. Hulsebus Chiropractor PastSince Jul 9, 2012 Accepting new patients

Locations

1010 Harlem Rd
Machesney Pk, IL 61115
Phone (815) 654-1044

Interoperability endpoints

  • Direct secure messaging: scott.stear.1@17569.direct.athenahealth.com

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992819551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HARLEM RD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152518",
            "telephone_number": "815-654-1044",
            "fax_number": "815-639-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HARLEM RD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152518",
            "telephone_number": "815-654-1044",
            "fax_number": "815-639-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEAR",
        "first_name": "SCOTT",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Machesney Park, 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.