Organization Active NPI

Chiropractic Specialists of Indiana, LLC

  • Durable Medical Equipment & Medical Supplies
  • Carmel, IN
National Provider Identifier
1437620309
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHIROPRACTIC SPECIALISTS OF INDIANA, LLC
Practice address
90 Executive Dr Ste E2
Carmel, IN 46032-2611
Phone
(765) 828-1003
NPI assigned
Dec 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Dion Snider, DCNPI 1699750125
Title
Director
Phone
(812) 887-4800

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

90 Executive Dr Ste E2
Carmel, IN 46032-2611

Mailing address

3961 Golf Bag LN
Terre Haute, IN 47802-8145
Phone (812) 887-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190606002669 IN DME Supplier - Physician - Unknown Physician Specialty 2961735915 Practice locations: Carmel, IN

National Provider Directory

National Provider Directory

Locations

90 Executive Dr
Ste E2
Carmel, IN 46032
Phone (765) 828-1003

90 Executive Dr
Ste E
Carmel, IN 46032
Phone (765) 575-3000

119 S Main St
Clinton, IN 47842
Phone (765) 505-3000

Practitioners & affiliated clinicians

Practitioners 3

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": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1437620309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 GOLF BAG LN",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478028145",
            "telephone_number": "812-887-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 EXECUTIVE DR STE E2",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322611",
            "telephone_number": "765-828-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SPECIALISTS OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "DION",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-887-4800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.