Montgomery County Chiropractic Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

08002570A Issued in IN

Legal business name

MONTGOMERY COUNTY CHIROPRACTIC CLINIC LLC

Practice address

1408 Darlington Ave
Suite G
Crawfordsville, IN 47933-2056

Phone

(765) 359-3330

Fax

(765) 359-3332

NPI assigned

Sep 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Steven Edgecombe, D.C.

Title

Clinic Director

Phone

(765) 359-3330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1508148131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 DARLINGTON AVE",
            "address_2": "SUITE G",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332056",
            "telephone_number": "765-359-3330",
            "fax_number": "765-359-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 DARLINGTON AVE",
            "address_2": "SUITE G",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332056",
            "telephone_number": "765-359-3330",
            "fax_number": "765-359-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "EDGECOMBE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "765-359-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "08002570A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailea Modglin, RBT
• Molin Chiropractic, P.C.
• Scott A Molin, D.C.
• Carie Ann Mondero, CNM
• Montgomery County Auditor
• Montgomery County Free Clinic, Inc
• Claire Monts, RBT
• Noah James Moore-Benge, BS BCABA
• Rachel Moore, MA
• Morgan Morris, RBT

• Clinic/Center in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.