NPIMap

Organization Active NPI

Fortville Chiropractic LLC

  • Chiropractor
  • Fortville, IN
National Provider Identifier
1356653869
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002483A Issued in IN
Legal business name
FORTVILLE CHIROPRACTIC LLC
Practice address
122 N Main St
Fortville, IN 46040-1311
Phone
(317) 485-3167
NPI assigned
Jul 13, 2010
Last updated
Jul 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Veronica Lynn Woodrum, DCNPI 1124358387
Title
Owner
Phone
(317) 485-3167

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 08002483A IN Primary

Addresses

Primary practice location

122 N Main St
Fortville, IN 46040-1311

Mailing address

122 N Main St
Fortville, IN 46040-1311
Phone (317) 485-3167

National Provider Directory

National Provider Directory

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": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1356653869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N MAIN ST",
            "city": "FORTVILLE",
            "state": "IN",
            "postal_code": "460401311",
            "telephone_number": "317-485-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N MAIN ST",
            "city": "FORTVILLE",
            "state": "IN",
            "postal_code": "460401311",
            "telephone_number": "317-485-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTVILLE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "WOODRUM",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-485-3167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002483A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortville, IN

Sources for this page

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