Active NPI
Cool Creek Chiropractic LLC
- Chiropractor
- Carmel, IN
National Provider Identifier
1821287731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002343A
- Legal business name
- COOL CREEK CHIROPRACTIC LLC
- Practice address
- 14747 Oak Road BLD 3
Suite 300
Carmel, IN 46033 - Phone
- (317) 818-1414
- NPI assigned
- Oct 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Grant Romine, D.C.
- Title
- Member
- Phone
- (317) 818-1414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002343A | IN | Primary |
Addresses
Primary practice location
14747 Oak Road BLD 3
Suite 300
Carmel, IN 46033
Mailing address
14747 Oak Rd
Suite 300
Carmel, IN 46033-8183
Phone (317) 818-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M100064022 | Other | IN | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
14747 Oak Rd
Ste 300
Carmel, IN 46033
Phone (317) 818-1414
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Carmel, IN
- NPI 1396176749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400025600000",
"number": "1821287731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14747 OAK RD",
"address_2": "SUITE 300",
"city": "CARMEL",
"state": "IN",
"postal_code": "460338183",
"telephone_number": "317-818-1414",
"fax_number": "317-818-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14747 OAK ROAD BLD 3",
"address_2": "SUITE 300",
"city": "CARMEL",
"state": "IN",
"postal_code": "46033",
"telephone_number": "317-818-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOL CREEK CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-16",
"last_updated": "2014-05-14",
"status": "A",
"authorized_official_last_name": "ROMINE",
"authorized_official_first_name": "GRANT",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "317-818-1414",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IN",
"license": "08002343A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M100064022",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.