Bottorff Advanced Chiropractic Inc
Organization Active NPI Chiropractor · Crawfordsville, IN
NPI 1699708198 · NPPES record last updated Apr 8, 2013
Key facts
- NPI
- 1699708198
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08000752A (IN)
- Legal business name
- BOTTORFF ADVANCED CHIROPRACTIC INC
- Practice address
- 1709 E Main St
Crawfordsville, IN 47933-3146 - Phone
- (765) 362-8833
- Fax
- (765) 362-8852
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. John M Bottorff Jr., D.C., C.C.S.T.
- Title
- Owner/Chiropractor
- Phone
- (765) 362-8833
Practitioners 2
-
John M Bottorff Jr., D.C., C.C.S.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060112000696 | IN | Part B Supplier - Clinic/Group Practice | 2668495946 |
Receives reassigned benefits from 1 practitioner Practice locations: Crawfordsville, IN |
National Provider Directory
Locations
1709 E Main St
Crawfordsvlle, IN 47933
Phone (765) 362-8833
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 08000752A | IN | Yes |
Addresses
Primary practice location
1709 E Main St
Crawfordsville, IN 47933-3146
Mailing address
1709 E Main St
Crawfordsville, IN 47933-3146
Phone (765) 362-8833
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000386843 | Other | IN | ANTHEM |
| 4351321 | Other | IN | AETNA |
Other names
- John M Bottorff, Jr., D.C.
Other providers in Crawfordsville, IN
- BJS DDS, LLC
- Morgan Blacketer
- Tiffini Danille Blaisdell
- Nadia Sattar Blessing
- Anna M Blevins
- Crenda Bottorff
- John M Bottorff Jr.
- Alison J Bowers
- Cassidy L Bowlin
- Gordon R Boyd
All providers in Crawfordsville, IN · Chiropractor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.