Individual provider Active NPI

Michael Mackenzie Gearheart, DC

  • Chiropractor
  • Fishers, IN
National Provider Identifier
1235754797
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003161A Issued in IN
Practice address
13991 Avalon East Dr
Fishers, IN 46037-6211
Phone
(765) 499-8376
NPI assigned
Jun 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003161A IN Primary

Addresses

Primary practice location

13991 Avalon East Dr
Fishers, IN 46037-6211

Mailing address

13991 Avalon East Dr
Fishers, IN 46037-6211
Phone (765) 499-8376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730003209 IN Practitioner - Chiropractic 6608279492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10298 E 96TH St
Fishers, IN 46037-9497
Phone (317) 747-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Excellence Chiropractic & Wellness, LLC Chiropractor CurrentSince Apr 30, 2021 Accepting new patients

Locations

10298 E 96th St
Fishers, IN 46037
Phone (317) 747-0088

Organizations & group practices 1

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": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1235754797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13991 AVALON EAST DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376211",
            "telephone_number": "765-499-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13991 AVALON EAST DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376211",
            "telephone_number": "765-499-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARHEART",
        "first_name": "MICHAEL",
        "middle_name": "MACKENZIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003161A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.