Organization Active NPI

Cool Creek Chiropractic LLC

  • Chiropractor
  • Carmel, IN
National Provider Identifier
1821287731
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002343A Issued in IN
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

Updated by the provider on May 14, 2014

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
M100064022OtherINMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.