Indy Sports Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

080001647 Issued in IN

Legal business name

INDY SPORTS CHIROPRACTIC PC

Practice address

75 Executive Dr Ste J
Carmel, IN 46032-2993

Phone

(317) 580-0000

Fax

(317) 927-8621

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Karen Lynn Bisesi, DC

Title

Chiropractor

Phone

(317) 580-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1790868040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR STE J",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322993",
            "telephone_number": "317-580-0000",
            "fax_number": "317-927-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR STE J",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322993",
            "telephone_number": "317-580-0000",
            "fax_number": "317-927-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY SPORTS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "BISESI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "317-580-0000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "080001647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000092392",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indy Advocate Mentor 4U LLC D/B/a 1St Advantage Iam4U Home Care Services
• Indy Counseling, P.C.
• Indy Dental Group WC, Inc.
• Indy House Calls
• Indy Infusion, LLC
• Indy Vascular LLC
• Indy Vascular LLC
• Infectious Disease of Indiana, PSC
• Infinity Wellness Associates LLC
• Beverly Inman-Dunigan, LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.