Organization Active NPI

Chiropractic Service Station

  • Chiropractor
  • Wabash, IN
National Provider Identifier
1164977898
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002923A Issued in IN
Legal business name
CHIROPRACTIC SERVICE STATION
Practice address
1146 N Cass St
Suite C
Wabash, IN 46992-1081
Phone
(260) 563-9090
NPI assigned
Aug 23, 2016
Last updated
Aug 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Dr. John Terry Godfrey, D.C.NPI 1992876262
Title
Owner/Chiropractor
Phone
(260) 563-9090

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 08002923A IN Primary

Addresses

Primary practice location

1146 N Cass St
Suite C
Wabash, IN 46992-1081

Mailing address

1146 N Cass St
Suite C
Wabash, IN 46992-1081
Phone (260) 563-9090

National Provider Directory

National Provider Directory

Locations

1022 N Cass St
Wabash, IN 46992
Phone (260) 563-9090

1315 N Cass St
Wabash, IN 46992
Phone (260) 563-9090

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": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1164977898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 N CASS ST",
            "address_2": "SUITE C",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921081",
            "telephone_number": "260-563-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 N CASS ST",
            "address_2": "SUITE C",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921081",
            "telephone_number": "260-563-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SERVICE STATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "260-563-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002923A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabash, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.