Individual provider Active NPI

Paul B Denis, D.C.

  • Rehabilitation Chiropractor
  • New Albany, IN
National Provider Identifier
1174611396
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
08001418A Issued in IN
Practice address
5120 Charlestown Rd
Suite 3
New Albany, IN 47150-9497
Phone
(812) 944-8000
Fax
(812) 944-8992
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X 08001418A IN
Rehabilitation Chiropractor 111NR0400X 08001418A IN Primary

Addresses

Primary practice location

5120 Charlestown Rd
Suite 3
New Albany, IN 47150-9497

Mailing address

5120 Charlestown Rd
Suite 3
New Albany, IN 47150-9497
Phone (812) 944-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000373 IN Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 8123053436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5120 Charlestown Rd
New Albany, IN 47150-9497
Phone (812) 944-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana Chiropractic & Rehabilitation Center, P.S.C. Rehabilitation CurrentSince Sep 1, 2005 Accepting new patients
Scott County Chiropractic Center, P.S.C. Past Accepting new patients

Locations

5120 Charlestown Rd
New Albany, IN 47150
Phone (812) 944-5600

5120 Charlestown Rd
Ste 3
New Albany, IN 47150
Phone (812) 944-8000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1174611396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 CHARLESTOWN RD",
            "address_2": "SUITE 3",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509497",
            "telephone_number": "812-944-8000",
            "fax_number": "812-944-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 CHARLESTOWN RD",
            "address_2": "SUITE 3",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509497",
            "telephone_number": "812-944-8000",
            "fax_number": "812-944-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENIS",
        "first_name": "PAUL",
        "middle_name": "B",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "IN",
            "license": "08001418A",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IN",
            "license": "08001418A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.