Individual provider Active NPI

Frank J Lagoni Jr., D.C.

  • Chiropractor
  • Pendleton, IN
National Provider Identifier
1700067410
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002337A Issued in IN
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200879780MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080116000247 IN Practitioner - Chiropractic 0547287112 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
08002337AINMDChiropractor
4969KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lagoni Chiropractic LLC Chiropractor CurrentSince Aug 1, 2010 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.

Verify at the official NPI Registry.