Individual provider Active NPI

B. Jermaine Ware, D.C.

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1508101197
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2435 Issued in TN
Practice address
8425 Castleton Corner Dr
Indianapolis, IN 46250-3580
Phone
(317) 400-5853
Fax
(317) 947-0909
NPI assigned
Dec 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2435 TN Primary

Addresses

Primary practice location

8425 Castleton Corner Dr
Indianapolis, IN 46250-3580

Mailing address

8425 Castleton Corner Dr
Indianapolis, IN 46250-3580
Phone (317) 400-5853

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160513001495 IN Practitioner - Chiropractic 2365731346

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8425 Castleton Corner Dr
Indianapolis, IN 46250-3580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2435TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Heroh Functional Institute PC CurrentSince Feb 23, 2020 Accepting new patients

Locations

8425 Castleton Corner Dr
Indianapolis, IN 46250
Phone (317) 400-5853

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": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1508101197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 CASTLETON CORNER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503580",
            "telephone_number": "317-400-5853",
            "fax_number": "317-947-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 CASTLETON CORNER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503580",
            "telephone_number": "317-400-5853",
            "fax_number": "317-947-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "B.",
        "middle_name": "JERMAINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-07",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.