Pacelli Chiropractic Health Potential Complex Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001812A Issued in IN

Legal business name

PACELLI CHIROPRACTIC HEALTH POTENTIAL COMPLEX INC

Practice address

40 Professional CT
Lafayette, IN 47905-5152

Phone

(765) 447-2222

Fax

(765) 447-7051

NPI assigned

May 30, 2007

Last updated

Dec 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brandy Ladd

Title

Complex Manager

Phone

(765) 447-2222

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael D Daubenspeck, D.C.

  • Chiropractor
  • Lafayette, IN
  • NPI 1093830697
  Medicare reassignment NPD
• Anthony J. Pacelli, D.C., C.C.N.

  • Chiropractor
  • Lafayette, IN
  • NPI 1851416457
  Medicare reassignment NPD
• Jianhua Jin, LAC, PH.D.

  • Acupuncturist
  • Lafayette, IN
  • NPI 1164547766
  NPD

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1255532800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PROFESSIONAL CT",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055152",
            "telephone_number": "765-447-2222",
            "fax_number": "765-447-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PROFESSIONAL CT",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055152",
            "telephone_number": "765-447-2222",
            "fax_number": "765-447-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACELLI CHIROPRACTIC HEALTH POTENTIAL COMPLEX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "COMPLEX MANAGER",
        "authorized_official_telephone_number": "765-447-2222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "0800547",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001812A",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "84000029A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100233030A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adeola Oviawe
• Hayley Owen, RBT
• Destinee Owens
• Gusta Michelle Owens, ATC
• Toluwanimi A Oyedele, MD
• Anthony J. Pacelli, D.C., C.C.N.
• Thomas C Padgett, MD
• Mark Christopher Page, MD
• Pakt, LLC
• Eric Howard Palmer, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.