Bottorff Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001367 Issued in IN

Legal business name

BOTTORFF CHIROPRACTIC CLINIC INC

Practice address

315 E Jefferson St
Plymouth, IN 46563-1825

Phone

(574) 936-2965

Fax

(574) 936-5506

NPI assigned

Jun 4, 2007

Last updated

Jun 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Janelle A Bottorff, D.C

Title

Owner

Phone

(574) 936-2965

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1063614931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E JEFFERSON ST",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631825",
            "telephone_number": "574-936-2965",
            "fax_number": "574-936-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E JEFFERSON ST",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631825",
            "telephone_number": "574-936-2965",
            "fax_number": "574-936-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTTORFF CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "BOTTORFF",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-936-2965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "15160332",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100173320A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "000000189745",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Blackford, MD
• Annamarie Boits, EDS, NCSP
• Nicole B Bolinger
• Candie Books, FNP-C
• Michael Edward Borden
• Benjamin Bower
• Taryna Bradley, DNP, RN, FNP-BC
• Julie Marie Brandy, FNP
• Brian S. Baird OD PC (Eye Center Care)
• Rebecca M Brice, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.