Organization Active NPI

Healthsource Chiropractic of Westfield LLC

  • Chiropractor
  • Westfield, IN
National Provider Identifier
1235487901
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002515A Issued in IN
Legal business name
HEALTHSOURCE CHIROPRACTIC OF WESTFIELD LLC
Practice address
785 E Main St
Westfield, IN 46074-9440
Phone
(317) 757-9442
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Dr. Stacey Young, DC
Title
Owner
Phone
(317) 757-9442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 08002515A IN Primary

Addresses

Primary practice location

785 E Main St
Westfield, IN 46074-9440

Mailing address

785 E Main St
Westfield, IN 46074-9440
Phone (317) 757-9442

Other identifiers 1

IdentifierTypeStateIssuer
08002515AOtherINCHIROPRACTIC LICENSE

Other names 1

  • Stacey Young Former legal business name

National Provider Directory

National Provider Directory

Locations

785 E Main St
Westfield, IN 46074
Phone (317) 399-5695

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1235487901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 E MAIN ST",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749440",
            "telephone_number": "317-757-9442",
            "fax_number": "318-804-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 E MAIN ST",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749440",
            "telephone_number": "317-757-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE CHIROPRACTIC OF WESTFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-757-9442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002515A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "08002515A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stacey Young",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Westfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.