Clear Chiropractic Muncie, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CLEAR CHIROPRACTIC MUNCIE, LLC

Practice address

3895 N Wheeling Ave
Muncie, IN 47304-1776

Phone

(765) 288-8851

Fax

(765) 288-8840

NPI assigned

Jul 16, 2019

Organization subpart

No

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

Authorized official

Name

Stacy A Richardson

Title

Billing Manager

Phone

(260) 726-3065

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Logan Brackman, DC

  • Chiropractor
  • Muncie, IN
  • NPI 1790578045
  Medicare reassignment Care Compare group NPD
• Michael Joseph Jobe, D.C.

  • Chiropractor
  • Muncie, IN
  • NPI 1336538560
  Medicare reassignment Care Compare group NPD
• Jeron Wayne Armstrong, DC

  • Chiropractor
  • Muncie, IN
  • NPI 1801737077
  Medicare reassignment

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1790337020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W VOTAW ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 N WHEELING AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473041776",
            "telephone_number": "765-288-8851",
            "fax_number": "765-288-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CHIROPRACTIC MUNCIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "260-726-3065"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "000000919097",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200936780D",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas R Clark, DDS
• Trinette Clark
• Alexiss Clarke
• Octavia Claudio
• Vivionna Breann Clay
• Patrick A Cleary, MD, PH.D.
• Kayla Clifford
• Riley Cline
• Robin Malott Cline
• Sierra Danielle Cline, RBT

• Chiropractor in Muncie, IN
• Providers in Muncie, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.