Organization Active NPI

Joseph Refkin, D.C., P.C.

  • Chiropractor
  • Merrillville, IN
National Provider Identifier
1710225529
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001119 Issued in IN
Legal business name
JOSEPH REFKIN, D.C., P.C.
Practice address
267 W 80TH PL
Merrillville, IN 46410-5431
Phone
(219) 769-2222
Fax
(219) 769-6133
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Dr. Joseph Refkin, D.C.NPI 1093750598
Title
President
Phone
(219) 769-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001119 IN Primary

Addresses

Primary practice location

267 W 80TH PL
Merrillville, IN 46410-5431

Mailing address

PO Box 10548
Merrillville, IN 46411-0548
Phone (219) 769-2222

Other identifiers 2

IdentifierTypeStateIssuer
000000185012OtherINANTHEM BLUE CROSS
100349380BMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130412000607 IN Part B Supplier - Clinic/Group Practice 4880830090 Receives reassigned benefits from 1 practitioner
Practice locations: Merrillville, IN

National Provider Directory

National Provider Directory

Locations

267 W 80th Pl
Merrillville, IN 46410
Phone (219) 769-2222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1710225529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10548",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464110548",
            "telephone_number": "219-769-2222",
            "fax_number": "219-769-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 W 80TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105431",
            "telephone_number": "219-769-2222",
            "fax_number": "219-769-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH REFKIN, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "REFKIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-769-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000185012",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100349380B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.