Pro Performance Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PRO PERFORMANCE CHIROPRACTIC LLC

Practice address

11650 Lantern Rd
Suite 132
Fishers, IN 46038-2993

Phone

(386) 675-5106

NPI assigned

Oct 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Derek Smith, DC

Title

Ceo

Phone

(386) 675-5106

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1043682792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 LANTERN ROAD",
            "address_2": "SUITE 132",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460383059",
            "telephone_number": "386-675-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 LANTERN RD",
            "address_2": "SUITE 132",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382993",
            "telephone_number": "386-675-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO PERFORMANCE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-675-5106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.