NPIMap

Organization Active NPI

Dupont Chiropractic Resource Center Inc.

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1184929010
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DUPONT CHIROPRACTIC RESOURCE CENTER INC.
Practice address
1960 E Dupont Rd
Fort Wayne, IN 46825-1582
Phone
(260) 489-2266
Fax
(260) 490-6565
NPI assigned
Jan 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Terry W. Weimer, D.C.
Title
President
Phone
(260) 489-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1960 E Dupont Rd
Fort Wayne, IN 46825-1582

Mailing address

1960 E Dupont Rd
Fort Wayne, IN 46825-1582
Phone (260) 489-2266

Other identifiers 1

IdentifierTypeStateIssuer
100048776MedicaidIN

National Provider Directory

National Provider Directory

Locations

1960 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 489-2266

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1184929010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251582",
            "telephone_number": "260-489-2266",
            "fax_number": "260-490-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251582",
            "telephone_number": "260-489-2266",
            "fax_number": "260-490-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPONT CHIROPRACTIC RESOURCE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "WEIMER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-489-2266",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100048776",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.