Organization Active NPI

Bull Chiropractic, P.C.

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1013106905
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001415A Issued in IN
Legal business name
BULL CHIROPRACTIC, P.C.
Practice address
7910 Coldwater Rd
Fort Wayne, IN 46825-3412
Phone
(260) 489-3636
Fax
(260) 489-3611
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Miss Mary Kathryn (Katie) Borr
Title
Office Manager
Phone
(260) 489-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001415A IN Primary

Addresses

Primary practice location

7910 Coldwater Rd
Fort Wayne, IN 46825-3412

Mailing address

7910 Coldwater Rd
Fort Wayne, IN 46825-3412
Phone (260) 489-3636

Other identifiers 1

IdentifierTypeStateIssuer
383841OtherINANTHEM PIN

National Provider Directory

National Provider Directory

Locations

7910 Coldwater Rd
Fort Wayne, IN 46825
Phone (260) 489-3636

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1013106905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253412",
            "telephone_number": "260-489-3636",
            "fax_number": "260-489-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253412",
            "telephone_number": "260-489-3636",
            "fax_number": "260-489-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULL CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "BORR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHRYN (KATIE)",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "260-489-3636",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001415A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "383841",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.