Active NPI
Russell Allen Lindner, CHIROPRACTIC
- Chiropractor
- Lebanon, IN
National Provider Identifier
1316016108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08000854A
- Practice address
- 3920 North State Road 39
Boone County Chiropractic Office
Lebanon, IN 46052 - Phone
- (765) 482-1610
- Fax
- (765) 482-9659
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08000854A | IN | Primary |
Addresses
Primary practice location
3920 North State Road 39
Boone County Chiropractic Office
Lebanon, IN 46052
Mailing address
3920 North State Road 39
Boone County Chiropractic Office
Lebanon, IN 46052
Phone (765) 482-1610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111128000429 | IN | Practitioner - Chiropractic | 6204000474 | Practice locations: Lebanon, IN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316016108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 NORTH STATE ROAD 39",
"address_2": "BOONE COUNTY CHIROPRACTIC OFFICE",
"city": "LEBANON",
"state": "IN",
"postal_code": "46052",
"telephone_number": "765-482-1610",
"fax_number": "765-482-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 NORTH STATE ROAD 39",
"address_2": "BOONE COUNTY CHIROPRACTIC OFFICE",
"city": "LEBANON",
"state": "IN",
"postal_code": "46052",
"telephone_number": "765-482-1610",
"fax_number": "765-482-9659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDNER",
"first_name": "RUSSELL",
"middle_name": "ALLEN",
"credential": "CHIROPRACTIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08000854A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.