Individual provider Active NPI

Christine M Gordon, D.C.

  • Chiropractor
  • Terre Haute, IN
National Provider Identifier
1487606158
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002232A Issued in IN
Practice address
3212 N 13TH St
Terre Haute, IN 47804-1236
Phone
(812) 460-1400
Fax
(812) 460-1402
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002232A IN Primary

Addresses

Primary practice location

3212 N 13TH St
Terre Haute, IN 47804-1236

Mailing address

3212 N 13TH St
Terre Haute, IN 47804-1236
Phone (812) 460-1400

Other identifiers 1

IdentifierTypeStateIssuer
200543520MedicaidIN

Other names 1

  • Christine M Sabel Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060117000590 IN Practitioner - Chiropractic 4587688635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3212 N 13TH St
Terre Haute, IN 47804-1236
Phone (812) 460-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002232AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
L.Cira Inc CurrentSince Mar 5, 2018 Accepting new patients
Travis Howard North, Inc Chiropractor Past Accepting new patients
Chiro Link Unlimited Chiropractor Past Accepting new patients

Locations

3212 N 13th St
Terre Haute, IN 47804
Phone (812) 460-1400

Organizations & group practices 4

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1487606158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 N 13TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041236",
            "telephone_number": "812-460-1400",
            "fax_number": "812-460-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 N 13TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041236",
            "telephone_number": "812-460-1400",
            "fax_number": "812-460-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002232A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200543520",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "SABEL",
            "middle_name": "M",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.