Organization Active NPI

Chiropractic Care & Wellness Center, LLC

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1558612929
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002680A Issued in IN
Legal business name
CHIROPRACTIC CARE & WELLNESS CENTER, LLC
Practice address
6388 W Jefferson Blvd
Suite B
Fort Wayne, IN 46804-3075
Phone
(419) 203-9690
NPI assigned
Sep 26, 2012
Last updated
Oct 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Dr. Joel Harman, D.C.
Title
Clinic Director
Phone
(419) 203-9690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002680A IN Primary

Addresses

Primary practice location

6388 W Jefferson Blvd
Suite B
Fort Wayne, IN 46804-3075

Mailing address

6388 W Jefferson Blvd
Suite B
Fort Wayne, IN 46804-3075
Phone (419) 203-9690

National Provider Directory

National Provider Directory

Locations

6388 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-9355

6388 W Jefferson Blvd
Ste B
Fort Wayne, IN 46804
Phone (260) 432-9355

110 N Walnut St
North Manchester, IN 46962
Phone (260) 982-2008

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1558612929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6388 W JEFFERSON BLVD",
            "address_2": "SUITE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468043075",
            "telephone_number": "419-203-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6388 W JEFFERSON BLVD",
            "address_2": "SUITE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468043075",
            "telephone_number": "419-203-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CARE & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "HARMAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "419-203-9690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002680A",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 15, 2012; 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.