Active NPI
Chiro 1St PC of Indiana
- Chiropractor
- Indianapolis, IN
National Provider Identifier
1063611325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001241A
- Legal business name
- CHIRO 1ST PC OF INDIANA
- Practice address
- 11020 E 10TH St
Unit B
Indianapolis, IN 46229-3710 - Phone
- (317) 898-5800
- Fax
- (317) 898-5883
- NPI assigned
- Jul 16, 2007
- 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
- Ms. Dawn M Sangalang, DC
- Title
- Owner
- Phone
- (317) 898-5800
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001241A | IN | Primary |
| Chiropractor | 111N00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | 01017401A | IN | |
| General Practice Physician | 208D00000X | 01017401A | IN |
Addresses
Primary practice location
11020 E 10TH St
Unit B
Indianapolis, IN 46229-3710
Mailing address
11020 E 10TH St
Unit B
Indianapolis, IN 46229-3710
Phone (317) 898-5800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568510501 | Other | IN | INDIVIDUAL NPI 1568510501 |
| 1952320772 | Other | IN | INDIVIDUAL NPI DR. ROBERT BREWER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11020 E 10th St
#B
Indianapolis, IN 46229
Phone (317) 898-5800
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Indianapolis, IN
- NPI 1568510501
-
- Family Medicine Physician
- Kirklin, IN
- NPI 1952320772
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1174615157
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720483200000",
"number": "1063611325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11020 E 10TH ST",
"address_2": "UNIT B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462293710",
"telephone_number": "317-898-5800",
"fax_number": "317-898-5883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11020 E 10TH ST",
"address_2": "UNIT B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462293710",
"telephone_number": "317-898-5800",
"fax_number": "317-898-5883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIRO 1ST PC OF INDIANA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-16",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "SANGALANG",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-898-5800",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IN",
"license": "08001241A",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "01017401A",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "IN",
"license": "01017401A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI 1568510501",
"identifier": "1568510501",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI DR. ROBERT BREWER",
"identifier": "1952320772",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- Dheeraj Chinnam, MBBS, MD
- Viswanath Reddy Chinta, MD
- Kalyan Kumar Chintapalli, PT
- Jayender Reddy Chintaparthi, MD
- Juliet Ujunwa Chinweze, PMHNP-BC
- Chiro 1St PC of Indiana
- Chiro One Wellness Center of Broad Ripple, LLC
- Chiro One Wellness Center of Geist LLC
- Chiro One Wellness Center of Indianapolis North LLC
- Chiro-Black-Tech (Healthy Alliances in Alternative Health and Healing Association)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.