Active NPI
Frank J Lagoni Jr., D.C.
- Chiropractor
- Pendleton, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002337A
- Practice address
- 6535 S State Road 67
Suite 200
Pendleton, IN 46064-9489 - Phone
- (765) 778-4095
- NPI assigned
- Nov 21, 2007
- Last updated
- May 29, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002337A | IN | Primary |
| Chiropractor | 111N00000X | 4969 | KY |
Addresses
Primary practice location
6535 S State Road 67
Suite 200
Pendleton, IN 46064-9489
Mailing address
6535 S State Road 67
Suite 200
Pendleton, IN 46064-9489
Phone (765) 778-4095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200879780 | 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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6535 S State Rd
67 Suite 200
Pendleton, IN 46064-9490
Phone (765) 778-4095
6535 S State Rd 67
Suite 200
Pendleton, IN 46064-9490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002337A | IN | MD | Chiropractor |
| 4969 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lagoni Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
6535 S State Road 67
Ste 2
Pendleton, IN 46064
Phone (765) 778-4095
6535 S State Road 67
Ste 200
Pendleton, IN 46064
Phone (765) 778-4095
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1700067410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6535 S STATE ROAD 67",
"address_2": "SUITE 200",
"city": "PENDLETON",
"state": "IN",
"postal_code": "460649489",
"telephone_number": "765-778-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 S STATE ROAD 67",
"address_2": "SUITE 200",
"city": "PENDLETON",
"state": "IN",
"postal_code": "460649489",
"telephone_number": "765-778-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGONI",
"first_name": "FRANK",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-21",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002337A",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4969",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200879780",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pendleton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.