Active NPI
The Rejuvenation Center LLC
- Chiropractor
- Greenwood, IN
National Provider Identifier
1164765327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- THE REJUVENATION CENTER LLC
- Practice address
- 997 E County Line Rd
Suite M
Greenwood, IN 46143-1075 - Phone
- (317) 577-1990
- Fax
- (317) 577-1993
- NPI assigned
- Apr 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew J Bauer, D.O.
- Title
- Owner
- Phone
- (317) 577-1990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
997 E County Line Rd
Suite M
Greenwood, IN 46143-1075
Mailing address
997 E County Line Rd
Suite M
Greenwood, IN 46143-1075
Phone (317) 577-1990
National Provider Directory
National Provider DirectoryLocations
997 E County Line Rd
Ste M
Greenwood, IN 46143
Phone (317) 577-1990
6905 E 96th St
Ste 6
Indianapolis, IN 46250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421712000000",
"number": "1164765327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "997 E COUNTY LINE RD",
"address_2": "SUITE M",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431075",
"telephone_number": "317-577-1990",
"fax_number": "317-577-1993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 E COUNTY LINE RD",
"address_2": "SUITE M",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431075",
"telephone_number": "317-577-1990",
"fax_number": "317-577-1993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE REJUVENATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-05",
"last_updated": "2015-01-20",
"status": "A",
"authorized_official_last_name": "BAUER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-577-1990",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
- Graysen Marie Tharp
- Haleigh Ann Tharp
- The Bachman Group, P.C.
- The Frazier Health Group, LLC
- The Health and Hospital Corporation of Marion County
- Therapy Haus Behavioral Health, LLC
- Therapy on Wheels, Inc.
- Athanasios Thomaides, M.D.
- Thomas a Brady Sports Medicine Center, PC
- Thomas a Brady Sports Medicine Center, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.