Individual provider Active NPI

Cory R Harkins, D.C.

  • Chiropractor
  • Fishers, IN
National Provider Identifier
1447491600
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002509A Issued in IN
Practice address
11876 Olio Rd
Fishers, IN 46037-9765
Phone
(317) 595-9620
NPI assigned
Mar 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002509A IN Primary

Addresses

Primary practice location

11876 Olio Rd
Fishers, IN 46037-9765

Mailing address

11876 Olio Road
Ste 500
Fishers, IN 46037-9765
Phone (317) 595-9620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000466 IN Practitioner - Chiropractic 5496937211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Freedom Chiropractic IncGroup PAC ID 2466751391, 3 clinicians

Practice addresses (Care Compare)

11876 Olio Rd
Suite 500
Fishers, IN 46037-9772
Phone (317) 595-9620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002509AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Chiropractic Inc Chiropractor CurrentSince Feb 29, 2016 Accepting new patients

Locations

11876 Olio Rd
Ste 500
Fishers, IN 46037
Phone (317) 595-9620

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1447491600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11876 OLIO ROAD",
            "address_2": "STE 500",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379765",
            "telephone_number": "317-595-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11876 OLIO RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379765",
            "telephone_number": "317-595-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKINS",
        "first_name": "CORY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-18",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002509A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.