360 Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08003018A Issued in IN

Legal business name

360 CHIROPRACTIC LLC

Practice address

450 Lincolnway Ste 110
Valparaiso, IN 46385-5524

Phone

(219) 241-6188

NPI assigned

Mar 8, 2018

Last updated

Mar 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan Demeo Maynard, DC

Title

Owner/Chiropractor

Phone

(219) 241-6188

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1003318791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LINCOLNWAY STE 110",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463855524",
            "telephone_number": "219-241-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LINCOLNWAY STE 110",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463855524",
            "telephone_number": "219-241-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "DEMEO",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "219-241-6188",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003018A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.