Elkhart County Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELKHART COUNTY CHIROPRACTIC

Practice address

909 Linway Dr
Suite 1
Goshen, IN 46526-2431

Phone

(574) 534-4400

Fax

(574) 534-5855

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brent Frank Lewallen, D.C.NPI 1871520122

Title

Doctor of Chiropractic Owner

Phone

(574) 534-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ECC, INC. Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent Frank Lewallen, D.C.

  • Chiropractor
  • Goshen, IN
  • NPI 1871520122
  Medicare reassignment NPD Authorized official
• Paul K Clark, DC

  • Chiropractor
  • Lowell, IN
  • NPI 1154338945
  NPD (past)
• Gene M Neyhart, M.D.

  • Chiropractor
  • Elkhart, IN
  • NPI 1437255064
  NPD (past)
• Brett E Usher, D.C.

  • Chiropractor
  • Austin, IN
  • NPI 1245428143
  NPD (past)
• Antonio Ray Gonzales, D.C.

  • Rehabilitation Chiropractor
  • Niles, MI
  • NPI 1679600829
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1508895426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 LINWAY DR",
            "address_2": "SUITE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465262431",
            "telephone_number": "574-534-4400",
            "fax_number": "574-534-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 LINWAY DR",
            "address_2": "SUITE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465262431",
            "telephone_number": "574-534-4400",
            "fax_number": "574-534-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHART COUNTY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "LEWALLEN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC  OWNER",
        "authorized_official_telephone_number": "574-534-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100114230A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECC, INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robin Ebright Zehr, LCSW
• Christine Eby, PT
• Jeffrey A. Eck, M.D.
• Kimberly Ehret, MSW
• Elite Emergency Physicians Inc
• Elkhart County Clubhouse
• Elkhart TWP. Fire Dept.
• Margaret E Elmore
• Thelma Enriquez, BSW
• Angela Eileen Eppert, M.S. CCC-SLP

• Chiropractor in Goshen, IN
• Providers in Goshen, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.