Heroh Chiropractic Lifestyle Center PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

HEROH CHIROPRACTIC LIFESTYLE CENTER PC

Practice address

10412 Allisonville Rd
Ste 203
Fishers, IN 46038-2052

Phone

(317) 578-0226

NPI assigned

Jul 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. B. Jermaine Ware, DC

Title

Physician

Phone

(317) 578-0226

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1255717310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 ALLISONVILLE RD",
            "address_2": "STE 203",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382052",
            "telephone_number": "317-578-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 ALLISONVILLE RD",
            "address_2": "STE 203",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382052",
            "telephone_number": "317-578-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROH CHIROPRACTIC LIFESTYLE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "B. JERMAINE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "317-578-0226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Fishers, IN
• Providers in Fishers, IN by specialty
• Preferred Provider Organization in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.