Dr. Jon J. Stanich P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001077 Issued in IN

Legal business name

DR. JON J. STANICH P.C.

Doing business as

Lawrence Chiropractic

Practice address

10830 Pendleton Pike
Suite E
Indianapolis, IN 46236-3300

Phone

(317) 823-7000

Fax

(317) 823-7002

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jon Joseph Stanich, D.C.

Title

Owner

Phone

(317) 823-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lawrence Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1023292646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36365",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462360365",
            "telephone_number": "317-823-7000",
            "fax_number": "317-823-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 PENDLETON PIKE",
            "address_2": "SUITE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462363300",
            "telephone_number": "317-823-7000",
            "fax_number": "317-823-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JON J. STANICH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "STANICH",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-823-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119420",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.