Individual provider Active NPI

Kevin Storm, D.C.

  • Chiropractor
  • Greenwood, IN
National Provider Identifier
1669715686
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002734A Issued in IN
Practice address
622 N Madison Ave
Suite 9
Greenwood, IN 46142-4052
Phone
(317) 509-7288
Fax
(317) 508-4463
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002734A IN Primary

Addresses

Primary practice location

622 N Madison Ave
Suite 9
Greenwood, IN 46142-4052

Mailing address

116 W Southport Rd
Indianapolis, IN 46217-4063

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140206000320 IN Practitioner - Chiropractic 9234368655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Storm Chiropractic Clinic LLCGroup PAC ID 7315176724, 4 clinicians

Practice addresses (Care Compare)

622 N Madison Ave
Suite 9
Greenwood, IN 46142-4052
Phone (317) 885-8520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002734AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Storm Chiropractic Clinic LLC Chiropractor CurrentSince Oct 14, 2013 Accepting new patients
Storm Chiropractic of Franklin LLC Chiropractor CurrentSince Jul 15, 2019 Accepting new patients
Mayfield Chiropractic LLC Chiropractor PastSince Sep 8, 2024 Accepting new patients

Locations

701 W Madison St
Ste A
Franklin, IN 46131
Phone (317) 868-8000

622 N Madison Ave
Ste 9
Greenwood, IN 46142
Phone (317) 653-5872

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1669715686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W SOUTHPORT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462174063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N MADISON AVE",
            "address_2": "SUITE 9",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424052",
            "telephone_number": "317-509-7288",
            "fax_number": "317-508-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORM",
        "first_name": "KEVIN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002734A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.