Indianapolis Sport and Spine, P.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

08002455A Issued in IN

Legal business name

INDIANAPOLIS SPORT AND SPINE, P.C.

Practice address

1460 N Green St
Suite 400
Brownsburg, IN 46112-7487

Phone

(317) 852-2005

Fax

(317) 852-2353

NPI assigned

Sep 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jason Welsh, D.C.

Title

President

Phone

(317) 852-2005

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1376876730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N GREEN ST",
            "address_2": "SUITE 400",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N GREEN ST",
            "address_2": "SUITE 400",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127487",
            "telephone_number": "317-852-2005",
            "fax_number": "317-852-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANAPOLIS SPORT AND SPINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "WELSH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-852-2005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IN",
            "license": "08002455A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.