Organization Active NPI

Alliance Chiropractic

  • Chiropractor
  • Fishers, IN
National Provider Identifier
1619320405
Registry record updated Dec 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALLIANCE CHIROPRACTIC
Practice address
8880 Fitness LN
Fishers, IN 46037-8231
Phone
(317) 482-7780
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2016

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

Authorized official

Name
Dr. Caitlin Wolf, D.C., M.S.
Title
Co-Owner/Partner
Phone
(317) 690-9667

Specialties & licenses 1

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

Addresses

Primary practice location

8880 Fitness LN
Fishers, IN 46037-8231

Mailing address

8880 Fitness LN
Fishers, IN 46037-8231

Other identifiers 1

IdentifierTypeStateIssuer
201385320AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160926001092 IN Part B Supplier - Clinic/Group Practice 7416244090 Receives reassigned benefits from 2 practitioners
Practice locations: Fishers, IN

National Provider Directory

National Provider Directory

Locations

8880 Fitness Ln
Fishers, IN 46037
Phone (317) 482-7780

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480723200000",
    "number": "1619320405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 FITNESS LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460378231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 FITNESS LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460378231",
            "telephone_number": "317-482-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-12-03",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "CO-OWNER/PARTNER",
        "authorized_official_telephone_number": "317-690-9667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201385320A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.