Individual provider Active NPI

Douglas Ryan Evenhouse, D.C.

  • Chiropractor
  • Crown Point, IN
National Provider Identifier
1043756562
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003327A Issued in IN
Practice address
1119 Merrillville Rd Ste 9
Crown Point, IN 46307-2710
Phone
(800) 631-9275
Fax
(855) 636-2923
NPI assigned
Jan 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003327A IN Primary
Chiropractor 111N00000X 038.013058 IL

Addresses

Primary practice location

1119 Merrillville Rd Ste 9
Crown Point, IN 46307-2710

Mailing address

1119 Merrillville Rd Ste 9
Crown Point, IN 46307-2710
Phone (800) 631-9275

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926000412 IN Practitioner - Chiropractic 5092078675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1119 Merrillville Rd
Crown Point, IN 46307-2710
Phone (800) 631-9275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013058ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fortitude Spine Care Inc Chiropractor CurrentSince Jun 5, 2025 Accepting new patients

Locations

1119 Merrillville Rd
Crown Point, IN 46307
Phone (800) 631-9275

1119 Merrillville Rd
Ste 9
Crown Point, IN 46307
Phone (800) 631-9275

Organizations & group practices 2

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": "1483833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1043756562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 MERRILLVILLE RD STE 9",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072710",
            "telephone_number": "800-631-9275",
            "fax_number": "855-636-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 MERRILLVILLE RD STE 9",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072710",
            "telephone_number": "800-631-9275",
            "fax_number": "855-636-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENHOUSE",
        "first_name": "DOUGLAS",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-08",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003327A",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.