McCordsville Holistic Chiropractic Center

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

08001438A Issued in IN

Legal business name

MCCORDSVILLE HOLISTIC CHIROPRACTIC CENTER

Practice address

5649 N 800 W
McCordsville, IN 46055-9522

Phone

(317) 926-9751

Fax

(317) 826-9761

NPI assigned

Mar 6, 2014

Last updated

Mar 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Jo Johnson, DC

Title

President

Phone

(317) 826-9751

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1730505355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5649 N 800 W",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460559522",
            "telephone_number": "317-826-9751",
            "fax_number": "317-826-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5649 N 800 W",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460559522",
            "telephone_number": "317-926-9751",
            "fax_number": "317-826-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORDSVILLE HOLISTIC CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-826-9751",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IN",
            "license": "08001438A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Chiropractor in McCordsville, IN
• Providers in McCordsville, IN by specialty
• Nutrition Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.