Organization Active NPI

MHBN Inc.

  • Chiropractor
  • Richmond, IN
National Provider Identifier
1073837316
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002028A Issued in IN
Legal business name
MHBN INC.
Doing business as
Lifeline Chiropractic
Practice address
4201 S a St
Richmond, IN 47374-6049
Phone
(765) 965-9500
Fax
(765) 965-0432
NPI assigned
Mar 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Dr. Laura Kelly Cooper, D.C.NPI 1174660237
Title
President
Phone
(765) 965-9500

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 08002028A IN Primary

Addresses

Primary practice location

4201 S a St
Richmond, IN 47374-6049

Mailing address

4201 S a St
Richmond, IN 47374-6049
Phone (765) 965-9500

Other names 1

  • Lifeline Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100422001128 IN Part B Supplier - Clinic/Group Practice 2961538228 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, IN

National Provider Directory

National Provider Directory

Locations

4201 S A St
Richmond, IN 47374
Phone (765) 965-9500

3577 E Main St
Richmond, IN 47374
Phone (765) 965-9500

Practitioners & affiliated clinicians

Practitioners 1

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": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1073837316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S A ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473746049",
            "telephone_number": "765-965-9500",
            "fax_number": "765-965-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S A ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473746049",
            "telephone_number": "765-965-9500",
            "fax_number": "765-965-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHBN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-965-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002028A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.

Verify at the official NPI Registry.