Organization Active NPI

Uptown Chiropractic Clinic PC

  • Chiropractor
  • Warsaw, IN
National Provider Identifier
1427179159
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001580A Issued in IN
Legal business name
UPTOWN CHIROPRACTIC CLINIC PC
Practice address
827 S Union St
Ste 210
Warsaw, IN 46580-4703
Phone
(574) 269-7726
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Erich C Griffith, D.C.NPI 1962523753
Title
Pres
Phone
(574) 269-7726

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001580A IN Primary

Addresses

Primary practice location

827 S Union St
Ste 210
Warsaw, IN 46580-4703

Mailing address

827 S Union St
Ste 210
Warsaw, IN 46580-4703
Phone (574) 269-7726

Other identifiers 1

IdentifierTypeStateIssuer
200358820AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130503000180 IN Part B Supplier - Clinic/Group Practice 8628215092 Receives reassigned benefits from 1 practitioner
Practice locations: Warsaw, IN

National Provider Directory

National Provider Directory

Locations

827 S Union St
Ste 210
Warsaw, IN 46580
Phone (574) 269-7726

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1427179159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 S UNION ST",
            "address_2": "STE 210",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465804703",
            "telephone_number": "574-269-7726",
            "fax_number": "574-269-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 S UNION ST",
            "address_2": "STE 210",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465804703",
            "telephone_number": "574-269-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "ERICH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "574-269-7726",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001580A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200358820A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

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