Organization Active NPI

Lagrange Chiropractic Offices, PC

  • Chiropractor
  • Lagrange, IN
National Provider Identifier
1083801476
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001005A Issued in IN
Legal business name
LAGRANGE CHIROPRACTIC OFFICES, PC
Practice address
818 N Detroit St
Lagrange, IN 46761-1112
Phone
(260) 463-3411
NPI assigned
Sep 28, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. William L. Pipher, D.C.NPI 1538108360
Title
President
Phone
(260) 463-3411

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
Chiropractor 111N00000X 08001005A IN Primary

Addresses

Primary practice location

818 N Detroit St
Lagrange, IN 46761-1112

Mailing address

818 N Detroit St
Lagrange, IN 46761-1112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040216000922 IN Part B Supplier - Clinic/Group Practice 1153216577 Receives reassigned benefits from 1 practitioner
Practice locations: Lagrange, IN

National Provider Directory

National Provider Directory

Locations

818 N Detroit St
Lagrange, IN 46761
Phone (260) 463-3411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1083801476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N DETROIT ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467611112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N DETROIT ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467611112",
            "telephone_number": "260-463-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE CHIROPRACTIC OFFICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "PIPHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-463-3411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001005A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.