Nill Family Chiropractic & Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002139A Issued in IN

Legal business name

NILL FAMILY CHIROPRACTIC & WELLNESS CENTER, LLC

Practice address

4606 W Jefferson Blvd
Fort Wayne, IN 46804-6826

Phone

(260) 459-2205

Fax

(260) 459-2209

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Patrick Nill, D.C.

Title

Owner

Phone

(260) 459-2205

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1598951808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046826",
            "telephone_number": "260-459-2205",
            "fax_number": "260-459-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046826",
            "telephone_number": "260-459-2205",
            "fax_number": "260-459-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILL FAMILY CHIROPRACTIC & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "NILL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-459-2205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002139A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. NILL INDIVIDUAL NPI#",
            "identifier": "1649228677",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000322869",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridgette Niese, RN
• Taylor Niese, LSW
• Judith A Niezer, RN
• Nightingale Hospice Care of Northern Indiana, Inc.
• Nihcs
• James Patrick Nill, DC
• Thomas G Nill, MD
• Guinevere M Nilles, PA
• David Keith Niner, SLP
• Holly Niner

• Chiropractor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Chiropractor in Indiana

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