NPIMap

Organization Active NPI

White River Clinic of Chiropractic, Inc

  • Chiropractor
  • Columbus, IN
National Provider Identifier
1568727329
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002634A Issued in IN
Legal business name
WHITE RIVER CLINIC OF CHIROPRACTIC, INC
Practice address
5536 25TH St
Columbus, IN 47203-3348
Phone
(812) 376-6200
Fax
(812) 376-7003
NPI assigned
Jul 9, 2012
Last updated
Jul 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Ryan Christopher Nelson, D.C.
Title
President
Phone
(812) 376-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002634A IN Primary

Addresses

Primary practice location

5536 25TH St
Columbus, IN 47203-3348

Mailing address

5536 25TH St
Columbus, IN 47203-3348
Phone (812) 376-6200

Other identifiers 1

IdentifierTypeStateIssuer
1942590997OtherINDIVIDUAL NATIONAL PROVIDER IDENTIFIER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1568727329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5536 25TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033348",
            "telephone_number": "812-376-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 25TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033348",
            "telephone_number": "812-376-6200",
            "fax_number": "812-376-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER CLINIC OF CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-376-6200",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002634A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1942590997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

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