Jeffrey Daniel Dettwiler, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002271A Issued in IN

Practice address

9865 E 116TH St
Suite 150
Fishers, IN 46037-9231

Phone

(317) 902-5802

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dettwiler Chiropractic, L.L.C.

  • Chiropractor
  • Fishers, IN
  • NPI 1548397771
  Medicare reassignment NPD Authorized official
• Maxlife Chiropractic

  • Sports Physician Chiropractor
  • Fishers, IN
  • NPI 1659794790
  NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1215028592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9865 E 116TH ST",
            "address_2": "STE 150",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379239",
            "telephone_number": "317-902-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9865 E 116TH ST",
            "address_2": "SUITE 150",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379231",
            "telephone_number": "317-902-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETTWILER",
        "first_name": "JEFFREY",
        "middle_name": "DANIEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002271A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Desanto
• Priyanka Deshmukh, PT
• Lindsay Detrich
• Kelsey Detterline, DPT
• Dettwiler Chiropractic, L.L.C.
• Weston Devore
• Luanne Devries, MA, CCC-SLP
• Stephen Paul Dewey, MD
• Dominique Dickerson, M.A. CCC-SLP
• Erin M Dickerson, LCSW

• Chiropractor in Fishers, IN
• Providers in Fishers, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.