Coughlin Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002463A Issued in IN

Legal business name

COUGHLIN CHIROPRACTIC INC

Practice address

5680 Caito Dr Ste 105
Indianapolis, IN 46226-1367

Phone

(317) 495-9882

Fax

(317) 495-9883

NPI assigned

Aug 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Shelley M Coughlin, DCNPI 1972837219

Title

President

Phone

(317) 495-9882

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Shelley Coughlin, DC

  • Chiropractor
  • Indianapolis, IN
  • NPI 1972837219
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1659687705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 CAITO DR STE 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261367",
            "telephone_number": "317-495-9882",
            "fax_number": "317-495-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 CAITO DR STE 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261367",
            "telephone_number": "317-495-9882",
            "fax_number": "317-495-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUGHLIN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "COUGHLIN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-495-9882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002463A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "08002463A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1972837219",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marion E Couch, MD
• Sheri E Couch
• Suzanne E Couchon, SLP-CCC
• Justin Louis Couetil, PHD
• Megan Coughlan
• Elaine Kimberly Coughlin, PHARMD
• Megan Ashley Coughlin, M.D.
• Shelley Coughlin, DC
• Andrew M Cougill, MD
• Jennifer Cerven Cougill, PHARMD

• 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 Aug 27, 2010; 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.