Organization Active NPI

Axis Chiropractic LLC

Doing business as Axis Chiropractic

  • Chiropractor
  • Newburgh, IN
National Provider Identifier
1346978533
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AXIS CHIROPRACTIC LLC
Doing business as
Axis Chiropractic
Practice address
3775 Haley Dr Ste C
Newburgh, IN 47630-2642
Phone
(812) 629-2028
NPI assigned
Aug 15, 2022
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Aaron King, DCNPI 1861085383
Title
Ceo/Provider
Phone
(812) 901-8353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

3775 Haley Dr Ste C
Newburgh, IN 47630-2642

Mailing address

3775 Haley Dr Ste C
Newburgh, IN 47630-2642
Phone (812) 629-2028

Other identifiers 2

IdentifierTypeStateIssuer
08003194AOtherININDIANA BOARD OF CHIROPRACTIC EXAMINERS
276952OtherKYKENTUCKY BOARD OF CHIROPRACTIC EXAMINERS

Other names 1

  • Axis Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220824001847 IN Part B Supplier - Clinic/Group Practice 3072996040 Receives reassigned benefits from 1 practitioner
Practice locations: Newburgh, IN

National Provider Directory

National Provider Directory

Locations

3775 Haley Dr
Ste C
Newburgh, IN 47630
Phone (812) 629-2028

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": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1346978533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 HALEY DR STE C",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302642",
            "telephone_number": "812-629-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 HALEY DR STE C",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302642",
            "telephone_number": "812-629-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CEO/PROVIDER",
        "authorized_official_telephone_number": "812-901-8353",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "08003194A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "276952",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axis Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.

Verify at the official NPI Registry.