Organization Active NPI

Cline Chiropractic Corporation

  • Chiropractor
  • West Lafayette, IN
National Provider Identifier
1750335659
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002157A Issued in IN
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, DCNPI 1336192178
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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002157A IN Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
200244260MedicaidIN

Other names 1

NPPES NPI Registry
  • The Cline Clinic Doing business as

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.

Verify at the official NPI Registry.