NPIMap

Organization Active NPI

Elwood Chiropractic

  • Chiropractor
  • Elwood, IN
National Provider Identifier
1396925855
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001111A Issued in IN
Legal business name
ELWOOD CHIROPRACTIC
Practice address
518 S Anderson St
Elwood, IN 46036-2322
Phone
(765) 552-0004
Fax
(765) 552-5246
NPI assigned
Nov 13, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Phillip W Boruff, DCNPI 1346243607
Title
Owner
Phone
(765) 552-0004

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
Chiropractor 111N00000X 08001111A IN Primary

Addresses

Primary practice location

518 S Anderson St
Elwood, IN 46036-2322

Mailing address

PO Box 27
Elwood, IN 46036-0027
Phone (765) 552-0004

National Provider Directory

National Provider Directory

Locations

518 S Anderson St
Elwood, IN 46036
Phone (765) 552-0004

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": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1396925855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460360027",
            "telephone_number": "765-552-0004",
            "fax_number": "765-552-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S ANDERSON ST",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460362322",
            "telephone_number": "765-552-0004",
            "fax_number": "765-552-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELWOOD CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "BORUFF",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-552-0004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001111A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.