Organization Active NPI

Frasier Chiropractic and Sports Clinic, Inc.

  • Clinic/Center
  • Columbus, IN
National Provider Identifier
1821276197
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
08002325A Issued in IN
Legal business name
FRASIER CHIROPRACTIC AND SPORTS CLINIC, INC.
Practice address
2790 Brentwood Dr
Columbus, IN 47203-2249
Phone
(812) 373-9880
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Dr. Nathanial James Frasier, D.C.NPI 1457470965
Title
Chiropractic Physician
Phone
(812) 343-5252

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
Clinic/Center 261Q00000X 08002325A IN Primary

Addresses

Primary practice location

2790 Brentwood Dr
Columbus, IN 47203-2249

Mailing address

3200 Sycamore Court #1D
Columbus, IN 47201-1513

Other identifiers 1

IdentifierTypeStateIssuer
08002325AOtherINCHIROPRACTIC LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080402000132 IN Part B Supplier - Clinic/Group Practice 4688751654 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, IN

National Provider Directory

National Provider Directory

Locations

3200 Sycamore Ct
Ste 1D
Columbus, IN 47203
Phone (812) 373-9880

4480 Ray Boll Blvd
Columbus, IN 47203
Phone (812) 373-9880

2790 Brentwood Dr
Columbus, IN 47203
Phone (812) 373-9880

Practitioners & affiliated clinicians

Practitioners 3

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": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1821276197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SYCAMORE COURT #1D",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472011513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 BRENTWOOD DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032249",
            "telephone_number": "812-373-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRASIER CHIROPRACTIC AND SPORTS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "FRASIER",
        "authorized_official_first_name": "NATHANIAL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "812-343-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "08002325A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "08002325A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.