Organization Active NPI

Martinsville Chiropractic Care, P.C.

  • Chiropractor
  • Martinsville, IN
National Provider Identifier
1750571568
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001309 Issued in IN
Legal business name
MARTINSVILLE CHIROPRACTIC CARE, P.C.
Practice address
690 E Morgan St
Martinsville, IN 46151-1640
Phone
(765) 342-2208
Fax
(765) 342-2327
NPI assigned
Jul 27, 2007
Last updated
Jan 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Michael Phelps, D.C.NPI 1275519555
Title
Chiropractor
Phone
(765) 342-2208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 08001309 IN Primary

Addresses

Primary practice location

690 E Morgan St
Martinsville, IN 46151-1640

Mailing address

690 E Morgan St
Martinsville, IN 46151-1640
Phone (765) 342-2208

Other identifiers 2

IdentifierTypeStateIssuer
000000091286OtherINANTHEM
100186900AMedicaidIN

National Provider Directory

National Provider Directory

Locations

690 E Morgan St
Martinsville, IN 46151
Phone (765) 342-2208

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1750571568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E MORGAN ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511640",
            "telephone_number": "765-342-2208",
            "fax_number": "765-342-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E MORGAN ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511640",
            "telephone_number": "765-342-2208",
            "fax_number": "765-342-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSVILLE CHIROPRACTIC CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "765-342-2208",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000091286",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100186900A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.