NPIMap

Organization Active NPI

Comfort Chiropractic Massage

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1346655685
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002296A Issued in IN
Legal business name
COMFORT CHIROPRACTIC MASSAGE
Practice address
8802 Madison Ave Ste F
Indianapolis, IN 46227-6400
Phone
(317) 650-5028
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Dr. Bryant L Ponchot, D.C.
Title
President
Phone
(317) 650-5028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002296A IN Primary

Addresses

Primary practice location

8802 Madison Ave Ste F
Indianapolis, IN 46227-6400

Mailing address

8802 Madison Ave Ste F
Indianapolis, IN 46227-6400
Phone (317) 650-5028

Other identifiers 1

IdentifierTypeStateIssuer
201024960MedicaidIN

National Provider Directory

National Provider Directory

Locations

8802 Madison Ave
Ste F
Indianapolis, IN 46227
Phone (317) 528-9200

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1346655685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8802 MADISON AVE STE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276400",
            "telephone_number": "317-650-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8802 MADISON AVE STE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276400",
            "telephone_number": "317-650-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CHIROPRACTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "PONCHOT",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-650-5028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002296A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201024960",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

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