NPIMap

Organization Active NPI

Chirorevolution

  • Chiropractor
  • Newburgh, IN
National Provider Identifier
1285078428
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002502A Issued in IN
Legal business name
CHIROREVOLUTION
Practice address
8887 High Pointe Dr
Suite F
Newburgh, IN 47630-7969
Phone
(812) 490-7386
Fax
(812) 490-7386
NPI assigned
Apr 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Dr. Patrick R Gottfried, DCNPI 1871609917
Title
Chiropractor
Phone
(812) 490-7386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002502A IN Primary

Addresses

Primary practice location

8887 High Pointe Dr
Suite F
Newburgh, IN 47630-7969

Mailing address

5844 Cypress Pointe Dr
Newburgh, IN 47630-9843
Phone (812) 480-5835

National Provider Directory

National Provider Directory

Locations

8887 High Pointe Dr
Ste F
Newburgh, IN 47630
Phone (812) 490-7386

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1285078428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 CYPRESS POINTE DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309843",
            "telephone_number": "812-480-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8887 HIGH POINTE DR",
            "address_2": "SUITE F",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307969",
            "telephone_number": "812-490-7386",
            "fax_number": "812-490-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROREVOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "GOTTFRIED",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "812-490-7386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002502A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.