Individual provider Active NPI

Nathanial James Frasier, D.C.

  • Chiropractor
  • Columbus, IN
National Provider Identifier
1457470965
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002325A Issued in IN
Practice address
4480 Ray Boll Blvd
Columbus, IN 47203-1760
Phone
(812) 373-9880
Fax
(812) 373-9910
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002325A IN Primary

Addresses

Primary practice location

4480 Ray Boll Blvd
Columbus, IN 47203-1760

Mailing address

4480 Ray Boll Blvd
Columbus, IN 47203-1760
Phone (812) 373-9880

Other identifiers 2

IdentifierTypeStateIssuer
08002325AOtherINLICENCE NUMBER
200894220AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080402000101 IN Practitioner - Chiropractic 8325138647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002325AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Frasier Chiropractic and Sports Clinic, Inc. CurrentSince Mar 3, 2008 Accepting new patients
Henry Chiropractic Center Chiropractor PastSince Oct 20, 2020 Accepting new patients

Locations

2790 Brentwood Dr
Columbus, IN 47203
Phone (812) 373-9880

4480 Ray Boll Blvd
Columbus, IN 47203
Phone (812) 373-9880

Organizations & group practices 2

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457470965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 RAY BOLL BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472031760",
            "telephone_number": "812-373-9880",
            "fax_number": "812-373-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 RAY BOLL BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472031760",
            "telephone_number": "812-373-9880",
            "fax_number": "812-373-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASIER",
        "first_name": "NATHANIAL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002325A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "08002325A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200894220A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.