NPIMap

Individual provider Active NPI

Joshua Ryan Tiller Pattengale, D.C.

  • Chiropractor
  • Osceola, IN
National Provider Identifier
1356780969
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002719A Issued in IN
Practice address
5432 Lincolnway E
Osceola, IN 46561-1960
Phone
(574) 679-0100
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002719A IN Primary

Addresses

Primary practice location

5432 Lincolnway E
Osceola, IN 46561-1960

Mailing address

5432 Lincolnway E
Osceola, IN 46561-1960
Phone (574) 679-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08002719AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
3D Scoliosis Brace, LLC Past Accepting new patients
Spinalign PC Chiropractor PastSince Jan 1, 1994 Accepting new patients

Organizations & group practices 2

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1356780969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432 LINCOLNWAY E",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465611960",
            "telephone_number": "574-679-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432 LINCOLNWAY E",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465611960",
            "telephone_number": "574-679-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTENGALE",
        "first_name": "JOSHUA",
        "middle_name": "RYAN TILLER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002719A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.