Active NPI
Jon Robert Alter, D,C.
- Chiropractor
- Fort Wayne, IN
National Provider Identifier
1689865115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08000142A
- Practice address
- 4222 Hobson CT
Fort Wayne, IN 46815-8648 - Phone
- (260) 485-3146
- Fax
- (260) 486-5278
- NPI assigned
- Aug 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08000142A | IN | Primary |
Addresses
Primary practice location
4222 Hobson CT
Fort Wayne, IN 46815-8648
Mailing address
4222 Hobson CT
Fort Wayne, IN 46815-8648
Phone (260) 485-3146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760527709 | Other | IN | GROUP NUMBER |
| 100081870B | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4222 Hobson CT
Fort Wayne, IN 46815-8648
Phone (260) 485-3146
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08000142A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Health Services, P.C. | Chiropractor | Current | Accepting new patients |
Locations
4222 Hobson Ct
Fort Wayne, IN 46815
Phone (219) 485-3146
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.
-
- Chiropractor
- Fort Wayne, IN
- NPI 1760527709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1689865115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4222 HOBSON CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468158648",
"telephone_number": "260-485-3146",
"fax_number": "260-486-5278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4222 HOBSON CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468158648",
"telephone_number": "260-485-3146",
"fax_number": "260-486-5278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTER",
"first_name": "JON",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D,C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08000142A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NUMBER",
"identifier": "1760527709",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100081870B",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.