Evelyn Antoinette Dysarz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001032 Issued in IN

Practice address

7117 N Olney St
Indianapolis, IN 46240-3530

Phone

(317) 841-8664

NPI assigned

Aug 10, 2005

Last updated

Feb 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1285635318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 N OLNEY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403530",
            "telephone_number": "317-841-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 N OLNEY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403530",
            "telephone_number": "317-841-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSARZ",
        "first_name": "EVELYN",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000259060",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200324090A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.