Individual provider Active NPI

Jason Duane Nottger, D.C.

  • Chiropractor
  • Bedford, IN
National Provider Identifier
1295710424
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002094A Issued in IN
Practice address
2808 Mitchell Rd
Bedford, IN 47421-9562
Phone
(812) 275-0500
Fax
(812) 275-3500
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 81000080A IN
Chiropractor 111N00000X 08002094A IN Primary

Addresses

Primary practice location

2808 Mitchell Rd
Bedford, IN 47421-9562

Mailing address

2808 Mitchell Rd
Bedford, IN 47421-9562
Phone (812) 275-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000587 IN Practitioner - Chiropractic 8527041565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2808 Mitchell Rd
Bedford, IN 47421-5318
Phone (812) 275-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81000080AINMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
John D Lockenour D C Inc Chiropractor Past Accepting new patients
Buch Chiropractic Inc Chiropractor Past Accepting new patients
JDN Enterprises Incorporated Chiropractor PastSince Dec 16, 2020 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1295710424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 MITCHELL RD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474219562",
            "telephone_number": "812-275-0500",
            "fax_number": "812-275-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 MITCHELL RD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474219562",
            "telephone_number": "812-275-0500",
            "fax_number": "812-275-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTTGER",
        "first_name": "JASON",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "81000080A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002094A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.