Active NPI
Trevor Farnsworth, D.C.
- Chiropractor
- Carmel, IN
National Provider Identifier
1578982906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002768A
- Practice address
- 75 Executive Dr Ste G
Carmel, IN 46032-2993 - Phone
- (317) 575-9310
- NPI assigned
- Apr 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002768A | IN | Primary |
Addresses
Primary practice location
75 Executive Dr Ste G
Carmel, IN 46032-2993
Mailing address
75 Executive Dr Ste G
Carmel, IN 46032-2993
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002768A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Pain and Wellness Center PC | Current | Accepting new patients | |
| Sandra K. Cunningham DC,PC | Past | Accepting new patients |
Locations
1305 W 96th St
Ste C
Indianapolis, IN 46260
Phone (317) 580-9867
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1417630336
-
- Rehabilitation Chiropractor
- Westfield, IN
- NPI 1578706875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397433600000",
"number": "1578982906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 EXECUTIVE DR STE G",
"city": "CARMEL",
"state": "IN",
"postal_code": "460322993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 EXECUTIVE DR STE G",
"city": "CARMEL",
"state": "IN",
"postal_code": "460322993",
"telephone_number": "317-575-9310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARNSWORTH",
"first_name": "TREVOR",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-14",
"last_updated": "2014-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002768A",
"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 Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.