Organization Active NPI

Winger Chiropractic PC

  • Chiropractor
  • Lafayette, IN
National Provider Identifier
1043223670
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
51000400A Issued in IN
Legal business name
WINGER CHIROPRACTIC PC
Practice address
511 S 16TH St
Lafayette, IN 47905-1235
Phone
(765) 742-2716
Fax
(765) 807-0005
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Mr. Michael Shane Winger
Title
Secretary of the Corporation
Phone
(765) 742-2716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 51000400A IN Primary

Addresses

Primary practice location

511 S 16TH St
Lafayette, IN 47905-1235

Mailing address

511 S 16TH St
Lafayette, IN 47905-1235
Phone (765) 742-2716

Other identifiers 1

IdentifierTypeStateIssuer
496519OtherINBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070711000072 IN Part B Supplier - Clinic/Group Practice 2365542073 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, IN

National Provider Directory

National Provider Directory

Locations

511 S 16th St
Lafayette, IN 47905
Phone (765) 742-2716

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1043223670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S 16TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479051235",
            "telephone_number": "765-742-2716",
            "fax_number": "765-807-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 S 16TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479051235",
            "telephone_number": "765-742-2716",
            "fax_number": "765-807-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGER CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "WINGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "SECRETARY OF THE CORPORATION",
        "authorized_official_telephone_number": "765-742-2716",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "51000400A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "496519",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.