Individual provider Active NPI

Timothy Ewing, DC

  • Chiropractor
  • Shelbyville, IN
National Provider Identifier
1740533645
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002089A Issued in IN
Practice address
103 S Tompkins St
Shelbyville, IN 46176-1207
Phone
(317) 389-4404
NPI assigned
Oct 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002089A IN Primary

Addresses

Primary practice location

103 S Tompkins St
Shelbyville, IN 46176-1207

Mailing address

103 S Tompkins St
Shelbyville, IN 46176-1207
Phone (317) 389-4404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206002306 IN Practitioner - Chiropractic 5799210829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ewing Chiropractic Family Clinic Inc PCGroup PAC ID 9032286612, 2 clinicians

Practice addresses (Care Compare)

103 S Tompkins St
Shelbyville, IN 46176-1207
Phone (317) 398-4404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ewing Chiropractic Family Clinic Inc PC Chiropractor CurrentSince Nov 15, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

103 S Tompkins St
Shelbyville, IN 46176
Phone (317) 389-4404

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1740533645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S TOMPKINS ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761207",
            "telephone_number": "317-389-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S TOMPKINS ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761207",
            "telephone_number": "317-389-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "TIMOTHY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002089A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.