Individual provider Active NPI

Timothy A Swihart, DC

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1497723340
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001362A Issued in IN
Practice address
1724 Prairie LN
Fort Wayne, IN 46818-1057
Phone
(260) 489-7949
Fax
(260) 489-8721
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001362A IN Primary

Addresses

Primary practice location

1724 Prairie LN
Fort Wayne, IN 46818-1057

Mailing address

418 E Dupont Rd
Fort Wayne, IN 46825-2050
Phone (260) 489-6019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061201000432 IN Practitioner - ChiropracticPractitioner - Other (Physician) 0042218919

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

418 E Dupont Rd
Fort Wayne, IN 46825-2050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001362AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Wayne Chiropractic, Inc. Chiropractor CurrentSince Sep 5, 2005 Accepting new patients

Locations

418 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 489-6019

7245 Maplecrest Rd
Fort Wayne, IN 46835
Phone (260) 969-0575

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1497723340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252050",
            "telephone_number": "260-489-6019",
            "fax_number": "260-489-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 PRAIRIE LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181057",
            "telephone_number": "260-489-7949",
            "fax_number": "260-489-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIHART",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001362A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.