Individual provider Active NPI

Cory J Piche, D.C.

  • Chiropractor
  • Lawrenceburg, IN
National Provider Identifier
1043249352
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001885A Issued in IN
Practice address
120 Industrial Dr
Lawrenceburg, IN 47025-1116
Phone
(812) 537-5616
Fax
(812) 537-1804
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001885A IN Primary

Addresses

Primary practice location

120 Industrial Dr
Lawrenceburg, IN 47025-1116

Mailing address

120 Industrial Dr
Lawrenceburg, IN 47025-1116
Phone (812) 537-5616

Other identifiers 1

IdentifierTypeStateIssuer
200248190AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100515000138 IN Practitioner - Chiropractic 0345378147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Neuromuscular Associates of Sei PSCGroup PAC ID 9032001961, 6 clinicians

Practice addresses (Care Compare)

120 Industrial Dr
Lawrenceburg, IN 47025-1116
Phone (812) 537-5616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Neuromuscular Associates of Sei PSC Chiropractor CurrentSince May 21, 2003 Accepting new patients

Locations

120 Industrial Dr
Lawrenceburg, IN 47025
Phone (812) 537-5616

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1043249352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 INDUSTRIAL DR",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251116",
            "telephone_number": "812-537-5616",
            "fax_number": "812-537-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 INDUSTRIAL DR",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251116",
            "telephone_number": "812-537-5616",
            "fax_number": "812-537-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHE",
        "first_name": "CORY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001885A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200248190A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.