NPIMap

Organization Active NPI

Chiropractic Wellness Center of Indiana

  • Chiropractor
  • Carmel, IN
National Provider Identifier
1568698678
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001094 Issued in IN
Legal business name
CHIROPRACTIC WELLNESS CENTER OF INDIANA
Practice address
75 Executive Dr
Suite J
Carmel, IN 46032-2995
Phone
(317) 575-9310
Fax
(317) 575-8423
NPI assigned
Jun 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Sandra K CunninghamNPI 1235248436
Title
Doctor of Chiropractic
Phone
(317) 575-9310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001094 IN Primary

Addresses

Primary practice location

75 Executive Dr
Suite J
Carmel, IN 46032-2995

Mailing address

75 Executive Dr
Suite J
Carmel, IN 46032-2995
Phone (317) 575-9310

National Provider Directory

National Provider Directory

Locations

2000 E 116th St
Ste 101
Carmel, IN 46032
Phone (317) 575-9310

Practitioners & affiliated clinicians

Practitioners 3

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": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1568698678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR",
            "address_2": "SUITE J",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322995",
            "telephone_number": "317-575-9310",
            "fax_number": "317-575-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR",
            "address_2": "SUITE J",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322995",
            "telephone_number": "317-575-9310",
            "fax_number": "317-575-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS CENTER OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "317-575-9310",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.