Individual provider Active NPI

Adam Been Cline, DC

  • Chiropractor
  • West Lafayette, IN
National Provider Identifier
1336192178
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002157A Issued in IN
Practice address
1033 Sagamore Pkwy W
West Lafayette, IN 47906-1445
Phone
(765) 463-3000
Fax
(765) 463-3000
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002157A IN Primary

Addresses

Primary practice location

1033 Sagamore Pkwy W
West Lafayette, IN 47906-1445

Mailing address

1033 Sagamore Pkwy W
West Lafayette, IN 47906-1445
Phone (765) 463-3000

Other identifiers 1

IdentifierTypeStateIssuer
200244260AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102000128 IN Practitioner - Chiropractic 1658333620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cline Chiropractic CorporationGroup PAC ID 6901904564, 2 clinicians

Practice addresses (Care Compare)

1033 Sagamore Pkwy W
West Lafayette, IN 47906-1445
Phone (765) 463-3000

1033 Sagamore W Pkwy
West Lafayette, IN 47906-1445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002157AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cline Chiropractic Corporation Chiropractor CurrentSince Jul 1, 2007 Accepting new patients

Locations

209 E 5th St
Fowler, IN 47944
Phone (765) 463-3000

1033 Sagamore Pkwy W
#3
West Lafayette, IN 47906
Phone (765) 463-3000

1033 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 463-3000

Organizations & group practices 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1336192178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 SAGAMORE PKWY W",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061445",
            "telephone_number": "765-463-3000",
            "fax_number": "765-463-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 SAGAMORE PKWY W",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061445",
            "telephone_number": "765-463-3000",
            "fax_number": "765-463-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "ADAM",
        "middle_name": "BEEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002157A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200244260A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.