NPIMap

Organization Active NPI

Atlas Chiropractic of Fort Wayne LLC

  • Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1396428355
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ATLAS CHIROPRACTIC OF FORT WAYNE LLC
Practice address
5113 N Bend Dr
Fort Wayne, IN 46804-1753
Phone
(260) 399-9020
Fax
(260) 399-9020
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Dr. Emily Darr Staples, DCNPI 1962972927
Title
Owner
Phone
(419) 603-8605

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5113 N Bend Dr
Fort Wayne, IN 46804-1753

Mailing address

5113 N Bend Dr
Fort Wayne, IN 46804-1753
Phone (260) 399-9020

National Provider Directory

National Provider Directory

Locations

5113 N Bend Dr
Fort Wayne, IN 46804
Phone (260) 399-9020

Practitioners & affiliated clinicians

Practitioners 1

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": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1396428355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 N BEND DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041753",
            "telephone_number": "260-399-9020",
            "fax_number": "260-399-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 N BEND DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041753",
            "telephone_number": "260-399-9020",
            "fax_number": "260-399-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS CHIROPRACTIC OF FORT WAYNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "STAPLES",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "DARR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-603-8605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.