Active NPI
Paula Standard, D.C.
- Chiropractor
- Indianapolis, IN
National Provider Identifier
1154546505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08000713A
- Practice address
- 6855 Shore Ter
100
Indianapolis, IN 46254-4662 - Phone
- (317) 628-6480
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08000713A | IN | Primary |
Addresses
Primary practice location
6855 Shore Ter
100
Indianapolis, IN 46254-4662
Mailing address
6855 Shore Ter
100
Indianapolis, IN 46254-4662
Phone (317) 628-6480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200040510 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08000713A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1154546505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6855 SHORE TER",
"address_2": "100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462544662",
"telephone_number": "317-628-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6855 SHORE TER",
"address_2": "100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462544662",
"telephone_number": "317-628-6480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDARD",
"first_name": "PAULA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08000713A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200040510",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.