King Chiropractic LLC
Organization Active NPI Chiropractor · Orleans, IN
NPI 1508639436 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1508639436
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- KING CHIROPRACTIC LLC
- Practice address
- 420 N Maple St
Orleans, IN 47452-1113 - Phone
- (812) 865-3052
- NPI assigned
- Nov 2, 2023
- Organization subpart
- No
Authorized official
- Name
- Justus King, DC
- Title
- Sole Member
- Phone
- (812) 545-5089
Practitioners 3
-
Michael D Butterfield, D.C.
-
Justus Ray King, DC
-
Travis Ray Snow, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231205001126 | IN | Part B Supplier - Clinic/Group Practice | 5092163865 |
Receives reassigned benefits from 2 practitioners Practice locations: Orleans, IN |
National Provider Directory
Locations
420 N Maple St
Orleans, IN 47452
Phone (812) 545-5089
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
420 N Maple St
Orleans, IN 47452-1113
Mailing address
420 N Maple St
Orleans, IN 47452-1113
Phone (812) 865-3052
Other providers in Orleans, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.