Organization Active NPI

New Life Chiropractic Center, Inc.

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1316146079
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001976A Issued in IN
Legal business name
NEW LIFE CHIROPRACTIC CENTER, INC.
Practice address
2051 Reed Rd
Fort Wayne, IN 46815-7311
Phone
(260) 471-5433
Fax
(260) 471-5413
NPI assigned
Jul 13, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Dr. Joel David Feeman, D.C.
Title
President
Phone
(260) 471-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001976A IN Primary

Addresses

Primary practice location

2051 Reed Rd
Fort Wayne, IN 46815-7311

Mailing address

2051 Reed Rd.
Fort Wayne, IN 46815-7311
Phone (260) 471-5433

National Provider Directory

National Provider Directory

Locations

2051 Reed Rd
Fort Wayne, IN 46815
Phone (219) 747-6171

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1316146079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 REED RD.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157311",
            "telephone_number": "260-471-5433",
            "fax_number": "260-471-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 REED RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157311",
            "telephone_number": "260-471-5433",
            "fax_number": "260-471-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "FEEMAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-471-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001976A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.