James Patrick Nill, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002139A Issued in IN

Practice address

4656 W Jefferson Blvd
240
Fort Wayne, IN 46804-6857

Phone

(260) 459-2205

Fax

(260) 459-2209

NPI assigned

May 4, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1649228677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4656 W JEFFERSON BLVD",
            "address_2": "240",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046857",
            "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": "4656 W JEFFERSON BLVD",
            "address_2": "240",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046857",
            "telephone_number": "260-459-2205",
            "fax_number": "260-459-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILL",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002139A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000322869",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7694554",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Niese, LSW
• Judith A Niezer, RN
• Nightingale Hospice Care of Northern Indiana, Inc.
• Nihcs
• Nill Family Chiropractic & Wellness Center, LLC
• Thomas G Nill, MD
• Guinevere M Nilles, PA
• David Keith Niner, SLP
• Holly Niner
• Kaitlin Marie Nini, MSSA, LCSW

• 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 Feb 1, 2008; 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.