Organization Active NPI

Bink Inc

Doing business as Aaron Chiropractic

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1699956870
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BINK INC
Doing business as
Aaron Chiropractic
Practice address
3476 Stellhorn Rd
Fort Wayne, IN 46815-4630
Phone
(260) 492-8811
Fax
(260) 492-0073
NPI assigned
Nov 16, 2007
Last updated
Jul 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Dr. Pam Joachim, DC
Title
President
Phone
(260) 492-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3476 Stellhorn Rd
Fort Wayne, IN 46815-4630

Mailing address

3476 Stellhorn Rd
Fort Wayne, IN 46815-4630
Phone (260) 492-8811

Other identifiers 1

IdentifierTypeStateIssuer
100440010AMedicaidIN

Other names 1

  • AARON CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090923000086 IN Part B Supplier - Clinic/Group Practice 4789730326 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Wayne, IN

National Provider Directory

National Provider Directory

Locations

3476 Stellhorn Rd
Fort Wayne, IN 46815
Phone (219) 482-8811

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1699956870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3476 STELLHORN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154630",
            "telephone_number": "260-492-8811",
            "fax_number": "260-492-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3476 STELLHORN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154630",
            "telephone_number": "260-492-8811",
            "fax_number": "260-492-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BINK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "JOACHIM",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-492-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100440010A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AARON CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AARON CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.