Organization Active NPI

The Rejuvenation Center LLC

  • Chiropractor
  • Greenwood, IN
National Provider Identifier
1164765327
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Jan 20, 2015

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.