NPIMap

Organization Active NPI

Wise Chiropractic Center PC

  • Chiropractor
  • Fishers, IN
National Provider Identifier
1053516799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001968A Issued in IN
Legal business name
WISE CHIROPRACTIC CENTER PC
Practice address
9084 Technology Dr
Suite 500
Fishers, IN 46038-3080
Phone
(317) 570-1944
Fax
(317) 806-1561
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shannon J Wise, DCNPI 1447260302
Title
President
Phone
(317) 570-1944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001968A IN Primary

Addresses

Primary practice location

9084 Technology Dr
Suite 500
Fishers, IN 46038-3080

Mailing address

9084 Technology Dr
Suite 500
Fishers, IN 46038-3080
Phone (317) 570-1944

National Provider Directory

National Provider Directory

Locations

9084 Technology Dr
Ste 500
Fishers, IN 46038
Phone (317) 570-1944

Practitioners & affiliated clinicians

Practitioners 3

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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053516799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9084 TECHNOLOGY DR",
            "address_2": "SUITE 500",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460383080",
            "telephone_number": "317-570-1944",
            "fax_number": "317-806-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9084 TECHNOLOGY DR",
            "address_2": "SUITE 500",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460383080",
            "telephone_number": "317-570-1944",
            "fax_number": "317-806-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-570-1944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001968A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.