Organization Active NPI

Winfield Woods Chiropractic, Inc.

  • Chiropractor
  • Crown Point, IN
National Provider Identifier
1306070388
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001716A Issued in IN
Legal business name
WINFIELD WOODS CHIROPRACTIC, INC.
Practice address
9150 E 109TH Ave
Suite 2B
Crown Point, IN 46307
Phone
(219) 661-9161
Fax
(219) 779-9110
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Mrs. Marlene Jacobus
Title
Office Manager
Phone
(219) 661-9161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001716A IN Primary

Addresses

Primary practice location

9150 E 109TH Ave
Suite 2B
Crown Point, IN 46307

Mailing address

9150 E 109TH Ave
Suite 2B
Crown Point, IN 46307
Phone (219) 661-9161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090624000403 IN Part B Supplier - Clinic/Group Practice 5890846257 Receives reassigned benefits from 1 practitioner
Practice locations: Crown Point, IN

National Provider Directory

National Provider Directory

Locations

9150 E 109th Ave
Ste 2C
Crown Point, IN 46307
Phone (219) 661-9161

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": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1306070388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 E 109TH AVE",
            "address_2": "SUITE 2B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-661-9161",
            "fax_number": "219-779-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 E 109TH AVE",
            "address_2": "SUITE 2B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-661-9161",
            "fax_number": "219-779-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINFIELD WOODS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "JACOBUS",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-661-9161",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001716A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.