Hammond Chiropractic Life Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08000467A Issued in IN

Legal business name

HAMMOND CHIROPRACTIC LIFE CENTER, INC.

Practice address

5716 S Hohman Ave
Hammond, IN 46320-2319

Phone

(219) 932-8900

Fax

(219) 932-8944

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Eugene Daulton Sr., D.C.NPI 1164456331

Title

President

Phone

(219) 932-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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.

• Ronald Eugene Daulton Jr., D.C.

  • Chiropractor
  • Hammond, IN
  • NPI 1164456331
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1093918955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 S HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202319",
            "telephone_number": "219-932-8900",
            "fax_number": "219-932-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 S HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202319",
            "telephone_number": "219-932-8900",
            "fax_number": "219-932-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOND CHIROPRACTIC LIFE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "DAULTON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-932-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000467A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ2555",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Halo's Home Care LLC
• Hammond Academy of Science and Technology
• Hammond Care From the Heart Social Services
• Hammond Care From the Heart Social Services
• Hammond Care From the Heart Social Services, LLC.
• Hammond Community Service Lab LLC (A B O Lab Service)
• Hammond Dental Group LLC
• Hammond Spine & Joint LLC
• Hammond Spine & Rehab LLC
• Raymond Hampton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.