Organization Active NPI

Heroh Sports and Family Chiropractic

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1013482405
Registry record updated Aug 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEROH SPORTS AND FAMILY CHIROPRACTIC
Practice address
8425 Castleton Corner Dr
Indianapolis, IN 46250-3580
Phone
(317) 400-5853
NPI assigned
Oct 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2019

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

Authorized official

Name
Dr. B Jermaine Ware, DC
Title
President
Phone
(317) 400-5853

Specialties & licenses 1

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

Addresses

Primary practice location

8425 Castleton Corner Dr
Indianapolis, IN 46250-3580

Mailing address

8425 Castleton Corner Dr
Indianapolis, IN 46250-3580
Phone (317) 400-5853

Other identifiers 1

IdentifierTypeStateIssuer
300022161MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL onlinesoftware Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

8425 Castleton Corner Dr
Indianapolis, IN 46250
Phone (317) 400-5853

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564790400000",
    "number": "1013482405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 CASTLETON CORNER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503580",
            "telephone_number": "317-400-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 CASTLETON CORNER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503580",
            "telephone_number": "317-400-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROH SPORTS AND FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2019-08-03",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "B JERMAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-400-5853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300022161",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "onlinesoftware",
            "affiliation": "N",
            "endpointDescription": "onlinesoftwarezHealth",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8425 Castleton Corner Dr",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462503580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2019; 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.