Individual provider Active NPI

Lori M Kirgis, D.C.

  • Chiropractor
  • Columbia City, IN
National Provider Identifier
1508907445
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001923A Issued in IN
Practice address
695 N Opportunity Dr
Columbia City, IN 46725-1041
Phone
(260) 244-3665
Fax
(260) 248-4496
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001923A IN Primary

Addresses

Primary practice location

695 N Opportunity Dr
Columbia City, IN 46725-1041

Mailing address

1325 E Greenbriar Dr
Columbia City, IN 46725-8622
Phone (260) 248-2194

Other identifiers 13

IdentifierTypeStateIssuer
P00152264OtherINPALMETTO GBA M
7676280OtherINAETNA
0000000334173OtherINUNICARE HEALTHCARE PLANS
2737868OtherINALLIED BENEFITS
200478390AOtherINMANAGED HEALTH SERVICE IN
200325660OtherINMANAGED HEALTH SERVICE IN
000000334173OtherININ BLUE SHIELD ANTHEM
200325660MedicaidIN
214620OtherINUNICARE PFFS CLAIMS DEPT
214620AOtherINHUMANA CLAIMS
200325660OtherINHARMONY HEALTH PLAN
214620AOtherINMEDICARE COMPLETE ESSENTI
214620AOtherINSECURE HORIZONS DIRECT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428001576 IN Practitioner - Chiropractic 3476549627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whitley Chiropractic and Wellness CenterGroup PAC ID 3072509223, 2 clinicians

Practice addresses (Care Compare)

695 N Opportunity Dr
Columbia City, IN 46725-1041
Phone (260) 244-3665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001923AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Centered of Scottsburg, Inc Chiropractor Past Accepting new patients
Health Centered Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508907445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E GREENBRIAR DR",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467258622",
            "telephone_number": "260-248-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N OPPORTUNITY DR",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251041",
            "telephone_number": "260-244-3665",
            "fax_number": "260-248-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRGIS",
        "first_name": "LORI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001923A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA M",
            "identifier": "P00152264",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7676280",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE HEALTHCARE PLANS",
            "identifier": "0000000334173",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIED BENEFITS",
            "identifier": "2737868",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH SERVICE IN",
            "identifier": "200478390A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH SERVICE IN",
            "identifier": "200325660",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN BLUE SHIELD ANTHEM",
            "identifier": "000000334173",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200325660",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE PFFS CLAIMS DEPT",
            "identifier": "214620",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CLAIMS",
            "identifier": "214620A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY HEALTH PLAN",
            "identifier": "200325660",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COMPLETE ESSENTI",
            "identifier": "214620A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS DIRECT",
            "identifier": "214620A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.