Individual provider Active NPI

Gerald L. Whalen, D.C.

  • Chiropractor
  • Zionsville, IN
National Provider Identifier
1720180250
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000727A Issued in IN
Practice address
1620 W Oak St
Suite 100
Zionsville, IN 46077-1969
Phone
(317) 733-9630
Fax
(317) 733-9631
NPI assigned
Sep 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08000727A IN Primary

Addresses

Primary practice location

1620 W Oak St
Suite 100
Zionsville, IN 46077-1969

Mailing address

1620 W Oak St
Suite 100
Zionsville, IN 46077-1969
Phone (317) 733-9630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1720180250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W OAK ST",
            "address_2": "SUITE 100",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771969",
            "telephone_number": "317-733-9630",
            "fax_number": "317-733-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 W OAK ST",
            "address_2": "SUITE 100",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771969",
            "telephone_number": "317-733-9630",
            "fax_number": "317-733-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "GERALD",
        "middle_name": "L.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000727A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.