Organization Active NPI

Faulkner Chiropractic & Acupuncture LLC

  • Chiropractor
  • Bloomington, IN
National Provider Identifier
1689907826
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001016 Issued in IN
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100193700MedicaidIN
000000086964OtherINANTHEM PIN NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.