Active NPI
Fitch Chiropractic LLC
- Chiropractor
- Fort Wayne, IN
National Provider Identifier
1043539448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08000206A
- Legal business name
- FITCH CHIROPRACTIC LLC
- Practice address
- 3010 E. State Blvd
Suite 500
Fort Wayne, IN 46805-4700 - Phone
- (260) 471-7493
- Fax
- (260) 471-6935
- NPI assigned
- May 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Victor K Fitch, D.C.
- Title
- Owner
- Phone
- (260) 471-7493
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08000206A | IN | Primary |
Addresses
Primary practice location
3010 E. State Blvd
Suite 500
Fort Wayne, IN 46805-4700
Mailing address
3010 E. State Blvd
Suite 500
Fort Wayne, IN 46805-4700
Phone (260) 471-7493
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100049760 | Medicaid | IN | |
| 350664222 | Other | IN | MEDICARE RR |
National Provider Directory
National Provider DirectoryLocations
6421 Georgetown North Blvd
Fort Wayne, IN 46815
Phone (260) 471-7493
3010 E State Blvd
Ste 500
Fort Wayne, IN 46805
Phone (260) 471-7493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274745600000",
"number": "1043539448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 E. STATE BLVD",
"address_2": "SUITE 500",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054700",
"telephone_number": "260-471-7493",
"fax_number": "260-471-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 E. STATE BLVD",
"address_2": "SUITE 500",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054700",
"telephone_number": "260-471-7493",
"fax_number": "260-471-6935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FITCH CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-25",
"last_updated": "2010-05-25",
"status": "A",
"authorized_official_last_name": "FITCH",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "260-471-7493",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IN",
"license": "08000206A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100049760",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "350664222",
"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 May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.