Organization Active NPI

Miskelly Chiropractic Center P C

  • Medical Specialty Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1730359308
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
08000497A Issued in IN
Legal business name
MISKELLY CHIROPRACTIC CENTER P C
Practice address
2811 Lower Huntington Rd
Fort Wayne, IN 46809-2616
Phone
(260) 747-1596
Fax
(260) 747-1597
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. William J Miskelly, D. C.
Title
President
Phone
(260) 747-1596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 08000497A IN Primary

Addresses

Primary practice location

2811 Lower Huntington Rd
Fort Wayne, IN 46809-2616

Mailing address

2811 Lower Huntington Rd
Fort Wayne, IN 46809-2616
Phone (260) 747-1596

Other identifiers 2

IdentifierTypeStateIssuer
000000175462OtherINBC/BS
048870OtherINMEDICARE

National Provider Directory

National Provider Directory

Locations

2811 Lower Huntington Rd
Fort Wayne, IN 46809
Phone (260) 747-1586

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": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1730359308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 LOWER HUNTINGTON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468092616",
            "telephone_number": "260-747-1596",
            "fax_number": "260-747-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 LOWER HUNTINGTON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468092616",
            "telephone_number": "260-747-1596",
            "fax_number": "260-747-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISKELLY CHIROPRACTIC CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "MISKELLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-747-1596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "08000497A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000175462",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "048870",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.