Organization Active NPI

McGillem Chiropractic & Rehabilitation

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1295061596
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002450A Issued in IN
Legal business name
MCGILLEM CHIROPRACTIC & REHABILITATION
Practice address
855 N High School Rd Ste 6
Indianapolis, IN 46214-5702
Phone
(317) 270-9500
Fax
(317) 270-9502
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Dr. Devon Tyler McGillem, D.C.
Title
Owner/Doctor
Phone
(317) 270-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002450A IN Primary

Addresses

Primary practice location

855 N High School Rd Ste 6
Indianapolis, IN 46214-5702

Mailing address

855 N High School Rd Ste 6
Indianapolis, IN 46214-5702
Phone (317) 270-9500

National Provider Directory

National Provider Directory

Locations

855 N High School Rd
Ste 6
Indianapolis, IN 46214
Phone (317) 270-9500

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1295061596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 N HIGH SCHOOL RD STE 6",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462145702",
            "telephone_number": "317-270-9500",
            "fax_number": "317-270-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N HIGH SCHOOL RD STE 6",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462145702",
            "telephone_number": "317-270-9500",
            "fax_number": "317-270-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGILLEM CHIROPRACTIC & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "MCGILLEM",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "317-270-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002450A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.