Active NPI
Cline Chiropractic Corporation
- Chiropractor
- West Lafayette, IN
National Provider Identifier
1750335659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002157A
- Legal business name
- CLINE CHIROPRACTIC CORPORATION
- Practice address
- 1033 Sagamore Park Way West
West Lafayette, IN 47906 - Phone
- (765) 463-3000
- Fax
- (765) 463-3000
- NPI assigned
- May 22, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Adam Been Cline, DC
- Title
- Doctor
- Phone
- (765) 463-3000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- West Lafayette, IN
- NPI 1336192178
-
- Chiropractor
- West Lafayette, IN
- NPI 1891048781
-
- Chiropractor
- West Lafayette, IN
- NPI 1013972686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070606000167 | IN | Part B Supplier - Clinic/Group Practice | 6901904564 |
Receives reassigned benefits from 2 practitioners Practice locations: West Lafayette, IN |
National Provider Directory
National Provider DirectoryLocations
209 E 5th St
Fowler, IN 47944
Phone (765) 463-3000
1033 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 463-3000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002157A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1033 Sagamore Park Way West
West Lafayette, IN 47906
Mailing address
1033 Sagamore Park Way West
West Lafayette, IN 47906
Phone (765) 463-3000
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200244260 | Medicaid | IN |
Other names 1
NPPES NPI Registry- The Cline Clinic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 24, 2010.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290556800000",
"number": "1750335659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 SAGAMORE PARK WAY WEST",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "47906",
"telephone_number": "765-463-3000",
"fax_number": "765-463-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 SAGAMORE PARK WAY WEST",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "47906",
"telephone_number": "765-463-3000",
"fax_number": "765-463-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINE CHIROPRACTIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2010-11-24",
"status": "A",
"authorized_official_last_name": "CLINE",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "BEEN",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "765-463-3000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IN",
"license": "08002157A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200244260",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Cline Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.