Organization Active NPI

Community Chiropractic LLC

  • Chiropractor
  • Avon, IN
National Provider Identifier
1437383163
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002326A Issued in IN
Legal business name
COMMUNITY CHIROPRACTIC LLC
Practice address
7651 E US Highway 36
Avon, IN 46123-7972
Phone
(317) 272-7988
NPI assigned
May 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Dr. Vicki Danis, DC
Title
Owner
Phone
(317) 272-7988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002326A IN Primary

Addresses

Primary practice location

7651 E US Highway 36
Avon, IN 46123-7972

Mailing address

145 Brooks Way
Pittsboro, IN 46167-8955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090708000381 IN Part B Supplier - Clinic/Group Practice 2062563851 Receives reassigned benefits from 1 practitioner
Practice locations: Avon, IN

National Provider Directory

National Provider Directory

Locations

7651 E US Highway 36
Avon, IN 46123
Phone (317) 272-7988

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": "1241827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1437383163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BROOKS WAY",
            "city": "PITTSBORO",
            "state": "IN",
            "postal_code": "461678955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237972",
            "telephone_number": "317-272-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-09",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "DANIS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-272-7988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002326A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.