Organization Active NPI

Fortitude Spine Care Inc

  • Chiropractor
  • Crown Point, IN
National Provider Identifier
1366231615
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FORTITUDE SPINE CARE INC
Doing business as
Fortitude Spine Care
Practice address
1119 Merrillville Rd Ste 9
Crown Point, IN 46307-2710
Phone
(800) 631-9275
NPI assigned
May 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Dr. Douglas Ryan Evenhouse, DCNPI 1043756562
Title
President
Phone
(800) 631-9275

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1119 Merrillville Rd Ste 9
Crown Point, IN 46307-2710

Mailing address

1119 Merrillville Rd Ste 9
Crown Point, IN 46307-2710
Phone (219) 219-4347

Other names 1

  • Fortitude Spine Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250724000785 IN Part B Supplier - Clinic/Group Practice 8729594882 Receives reassigned benefits from 1 practitioner
Practice locations: Crown Point, IN

National Provider Directory

National Provider Directory

Locations

1119 Merrillville Rd
Crown Point, IN 46307
Phone (800) 631-9275

1119 Merrillville Rd
Ste 9
Crown Point, IN 46307
Phone (800) 631-9275

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1366231615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 MERRILLVILLE RD STE 9",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072710",
            "telephone_number": "219-219-4347",
            "fax_number": "855-636-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 MERRILLVILLE RD STE 9",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072710",
            "telephone_number": "800-631-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE SPINE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-03",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "EVENHOUSE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-631-9275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fortitude Spine Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fortitude Spine Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.