Organization Active NPI

Spine & Joint Center of Southwest Indiana, LLC

  • Chiropractor
  • Washington, IN
National Provider Identifier
1346567518
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002488A Issued in IN
Legal business name
SPINE & JOINT CENTER OF SOUTHWEST INDIANA, LLC
Practice address
1211 S Meridian St
Suite a
Washington, IN 47501-4228
Phone
(812) 254-2203
Fax
(812) 254-2033
NPI assigned
Apr 28, 2010
Last updated
Apr 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Dr. Jess Thomas Brower, D.C.NPI 1720305964
Title
Owner
Phone
(812) 486-6294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002488A IN Primary

Addresses

Primary practice location

1211 S Meridian St
Suite a
Washington, IN 47501-4228

Mailing address

1211 S Meridian St
Suite a
Washington, IN 47501-4228
Phone (812) 254-2203

National Provider Directory

National Provider Directory

Locations

1211 S Meridian St
#A
Washington, IN 47501
Phone (812) 254-2203

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1346567518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S MERIDIAN ST",
            "address_2": "SUITE A",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014228",
            "telephone_number": "812-254-2203",
            "fax_number": "812-254-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S MERIDIAN ST",
            "address_2": "SUITE A",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014228",
            "telephone_number": "812-254-2203",
            "fax_number": "812-254-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & JOINT CENTER OF SOUTHWEST INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "BROWER",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-486-6294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002488A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.