Active NPI
Faulkner Chiropractic & Acupuncture LLC
- Chiropractor
- Bloomington, IN
National Provider Identifier
1689907826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001016
- Legal business name
- FAULKNER CHIROPRACTIC & ACUPUNCTURE LLC
- Practice address
- 2205 W Sudbury Dr
Suite B
Bloomington, IN 47403-3813 - Phone
- (812) 333-3131
- NPI assigned
- Sep 4, 2009
- Last updated
- Sep 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brenda L Faulkner, DC
- Title
- Chiropractor
- Phone
- (812) 333-3131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001016 | IN | Primary |
Addresses
Primary practice location
2205 W Sudbury Dr
Suite B
Bloomington, IN 47403-3813
Mailing address
2205 W Sudbury Dr
Suite B
Bloomington, IN 47403-3813
Phone (812) 333-3131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100193700 | Medicaid | IN | |
| 000000086964 | Other | IN | ANTHEM PIN NUMBER |
National Provider Directory
National Provider DirectoryLocations
2205 W Sudbury Dr
Ste B
Bloomington, IN 47403
Phone (812) 333-3131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252022400000",
"number": "1689907826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 W SUDBURY DR",
"address_2": "SUITE B",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474033813",
"telephone_number": "812-333-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 W SUDBURY DR",
"address_2": "SUITE B",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474033813",
"telephone_number": "812-333-3131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAULKNER CHIROPRACTIC & ACUPUNCTURE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-04",
"last_updated": "2009-09-04",
"status": "A",
"authorized_official_last_name": "FAULKNER",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "812-333-3131",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100193700",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN NUMBER",
"identifier": "000000086964",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.