Individual provider Active NPI

Elizabeth A Aldape, D.C.

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1508926494
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001147A Issued in IN
Practice address
10620 Corporate Dr Ste D
Fort Wayne, IN 46845-1711
Phone
(260) 496-8555
Fax
(260) 496-8488
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 08001147A IN Primary

Addresses

Primary practice location

10620 Corporate Dr Ste D
Fort Wayne, IN 46845-1711

Mailing address

10620 Corporate Dr Ste D
Fort Wayne, IN 46845-1711
Phone (260) 496-8555

Other identifiers 1

IdentifierTypeStateIssuer
000000246820OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08001147AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic & Holistic Lifestyles, Inc. Chiropractor Past Accepting new patients
Chiropractic Products, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508926494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 CORPORATE DR STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451711",
            "telephone_number": "260-496-8555",
            "fax_number": "260-496-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 CORPORATE DR STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451711",
            "telephone_number": "260-496-8555",
            "fax_number": "260-496-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDAPE",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001147A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000246820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.