Individual provider Active NPI

Philip D Hallett, D.C.

  • Chiropractor
  • Lebanon, IN
National Provider Identifier
1689602351
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001578 Issued in IN
Practice address
610 N Lebanon St
Lebanon, IN 46052-1716
Phone
(765) 482-8181
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001578 IN Primary

Addresses

Primary practice location

610 N Lebanon St
Lebanon, IN 46052-1716

Mailing address

8058 Park Meadows Dr
Brownsburg, IN 46112-7846
Phone (317) 852-5981

Other identifiers 2

IdentifierTypeStateIssuer
350052484OtherINRAILROAD MEDICARE
200265730MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019000303 IN Practitioner - Chiropractic 6709079148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Seland Chiropractic Center PCGroup PAC ID 4789868514, 4 clinicians

Practice addresses (Care Compare)

7350 Village Square LN
Fishers, IN 46038-4502
Phone (317) 598-1410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001578INMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Seland Chiropractic Center, P.C. Chiropractor CurrentSince Sep 1, 2025 Accepting new patients

Locations

7350 Village Square Ln
Fishers, IN 46038
Phone (317) 598-1410

Organizations & group practices 1

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1689602351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8058 PARK MEADOWS DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127846",
            "telephone_number": "317-852-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521716",
            "telephone_number": "765-482-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLETT",
        "first_name": "PHILIP",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350052484",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200265730",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.