Organization Active NPI

Chiropractic Rehabilitation and Acupuncture, Inc

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1396187654
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC REHABILITATION AND ACUPUNCTURE, INC
Practice address
1717 W 86TH St Ste 420
Indianapolis, IN 46260-2048
Phone
(317) 876-7826
Fax
(317) 876-7170
NPI assigned
Jul 26, 2013
Last updated
Oct 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Dr. Robert Ferguson, DC
Title
Ceo
Phone
(317) 876-7826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1717 W 86TH St Ste 420
Indianapolis, IN 46260-2048

Mailing address

1717 W 86TH St Ste 420
Indianapolis, IN 46260-2048
Phone (317) 876-7826

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131101001242 IN Part B Supplier - Clinic/Group Practice 2567697337 Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

2250 W 86th St
Ste 100
Indianapolis, IN 46260
Phone (317) 875-6630

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": "1374796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1396187654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W 86TH ST STE 420",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602048",
            "telephone_number": "317-876-7826",
            "fax_number": "317-876-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W 86TH ST STE 420",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602048",
            "telephone_number": "317-876-7826",
            "fax_number": "317-876-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC REHABILITATION AND ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-876-7826",
        "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": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.