Organization Active NPI

Chiropractic Works of Indiana Inc.

  • Chiropractor
  • Anderson, IN
National Provider Identifier
1215089297
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001644A Issued in IN
Legal business name
CHIROPRACTIC WORKS OF INDIANA INC.
Practice address
1541 S Scatterfield Rd
Suite a
Anderson, IN 46016
Phone
(765) 649-1991
Fax
(765) 649-3383
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Mr. Keith Alan Berger, DC
Title
President
Phone
(765) 649-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 08001644A IN Primary

Addresses

Primary practice location

1541 S Scatterfield Rd
Suite a
Anderson, IN 46016

Mailing address

1541 S Scatterfield Rd
Anderson, IN 46016-5784
Phone (765) 649-1991

Other identifiers 1

IdentifierTypeStateIssuer
200080340AMedicaidIN

National Provider Directory

National Provider Directory

Locations

1541 S Scatterfield Rd
Anderson, IN 46016
Phone (764) 649-1991

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1215089297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 S SCATTERFIELD RD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165784",
            "telephone_number": "765-649-1991",
            "fax_number": "765-649-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 S SCATTERFIELD RD",
            "address_2": "SUITE A",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "46016",
            "telephone_number": "765-649-1991",
            "fax_number": "765-649-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WORKS OF INDIANA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-649-1991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001644A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200080340A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.