NPIMap

Organization Active NPI

Indian Meadows Chiropractic Center, LLC

  • Chiropractor
  • Huntsville, OH
National Provider Identifier
1407132582
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INDIAN MEADOWS CHIROPRACTIC CENTER, LLC
Practice address
7399 State Route 366 Ste 2
Huntsville, OH 43324-9546
Phone
(937) 842-2220
Fax
(937) 842-2227
NPI assigned
Nov 2, 2011
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Dr. Chris Freeman, D.C.
Title
Owner/Chiropractor
Phone
(937) 842-2220

Specialties & licenses 1

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

Addresses

Primary practice location

7399 State Route 366 Ste 2
Huntsville, OH 43324-9546

Mailing address

7399 State Route 366 Ste 2
Huntsville, OH 43324-9546
Phone (937) 842-2220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000097 OH Part B Supplier - Clinic/Group Practice 1951562404 Receives reassigned benefits from 3 practitioners
Practice locations: Huntsville, OH

National Provider Directory

National Provider Directory

Locations

7399 State Route 366
Huntsville, OH 43324
Phone (937) 842-2220

Practitioners & affiliated clinicians

Practitioners 4

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": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1407132582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7399 STATE ROUTE 366 STE 2",
            "city": "HUNTSVILLE",
            "state": "OH",
            "postal_code": "433249546",
            "telephone_number": "937-842-2220",
            "fax_number": "937-842-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7399 STATE ROUTE 366 STE 2",
            "city": "HUNTSVILLE",
            "state": "OH",
            "postal_code": "433249546",
            "telephone_number": "937-842-2220",
            "fax_number": "937-842-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN MEADOWS CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "937-842-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.