NPIMap

Organization Active NPI

Prowellness Chiropractic, P.C.

  • Chiropractor
  • Fishers, IN
National Provider Identifier
1790973154
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002347A Issued in IN
Legal business name
PROWELLNESS CHIROPRACTIC, P.C.
Practice address
11876 Olio Rd
Fishers, IN 46038-2816
Phone
(812) 583-2278
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Chris Wayne Galloway, D.C.NPI 1548456999
Title
President
Phone
(812) 583-2278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002347A IN Primary

Addresses

Primary practice location

11876 Olio Rd
Fishers, IN 46038-2816

Mailing address

11876 Olio Rd
Fishers, IN 46038-2816
Phone (812) 583-2278

National Provider Directory

National Provider Directory

Locations

11876 Olio Rd
Fishers, IN 46037
Phone (317) 516-5184

11876 Olio Rd
Ste 500
Fishers, IN 46037
Phone (317) 595-9620

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1790973154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11876 OLIO RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382816",
            "telephone_number": "812-583-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11876 OLIO RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382816",
            "telephone_number": "812-583-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROWELLNESS CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-583-2278",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002347A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.