Joseph Domenic Fortunato, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001070A Issued in IN

Practice address

6321 N Keystone Ave Ste a
Indianapolis, IN 46220-2156

Phone

(317) 257-2225

Fax

(317) 257-0646

NPI assigned

Jan 3, 2006

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glendale Chiropractic P.C.

  dba HealthSource of Indianapolis

  • Chiropractor
  • Indianapolis, IN
  • NPI 1932391125
  Medicare reassignment NPD Authorized official
• Glendale Advanced Health, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1992311104
  NPD Authorized official
• Street Chiropractic PC

  • Chiropractor
  • Indianapolis, IN
  • NPI 1023985256
  NPD

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1639157407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 N KEYSTONE AVE STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202156",
            "telephone_number": "317-257-2225",
            "fax_number": "317-257-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 N KEYSTONE AVE STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202156",
            "telephone_number": "317-257-2225",
            "fax_number": "317-257-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNATO",
        "first_name": "JOSEPH",
        "middle_name": "DOMENIC",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001070A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000091939",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4355508",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100120180A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Fortna, MD
• Geoffrey Mark Fortner, M.D.
• Leanne M Fortner, M.D.
• Lawrence N. Fortress, D.D.S
• Jessica H. Fortunak, NP
• Amy Lynn Fortune, RN, BSN
• Erwin Fortuno
• Heather M. Fosnaugh, LMHC
• Rebecca L Foss, DDS
• Consuelo Rozana Fossati, RPH

• Chiropractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.