Organization Active NPI

Akron Family Chiropractic, LLC

  • Chiropractor
  • Akron, IN
National Provider Identifier
1720417751
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002701A Issued in IN
Legal business name
AKRON FAMILY CHIROPRACTIC, LLC
Practice address
12106 E State Road 114
Akron, IN 46910-9416
Phone
(574) 893-4131
NPI assigned
Nov 12, 2013
Last updated
Nov 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Dr. Jesse Shultz, D.C.NPI 1194153437
Title
Owner
Phone
(574) 893-4131

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 08002701A IN Primary

Addresses

Primary practice location

12106 E State Road 114
Akron, IN 46910-9416

Mailing address

12106 E State Road 114
PO Box 206
Akron, IN 46910-9416
Phone (574) 893-4131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140228001941 IN Part B Supplier - Clinic/Group Practice 6608006192 Receives reassigned benefits from 2 practitioners
Practice locations: Akron, IN

National Provider Directory

National Provider Directory

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": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1720417751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12106 E STATE ROAD 114",
            "address_2": "PO BOX 206",
            "city": "AKRON",
            "state": "IN",
            "postal_code": "469109416",
            "telephone_number": "574-893-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12106 E STATE ROAD 114",
            "city": "AKRON",
            "state": "IN",
            "postal_code": "469109416",
            "telephone_number": "574-893-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRON FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-893-4131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002701A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.