Northeast Chiropractic Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002385A Issued in IN

Legal business name

NORTHEAST CHIROPRACTIC CENTER, INC

Practice address

4332 Flagstaff CV
Fort Wayne, IN 46815-4416

Phone

(260) 245-0460

NPI assigned

Jan 9, 2013

Organization subpart

No

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

Authorized official

Name

Adam S Osenga, DCNPI 1689843278

Title

President

Phone

(260) 245-0460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 5

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

• Adam S Osenga, D.C.

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1689843278
  Medicare reassignment Care Compare group NPD Authorized official
• Keegan Thomas Gura

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1467025973
  Medicare reassignment Care Compare group NPD
• Jared Paul Laurent, D.C.

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1184373805
  Medicare reassignment Care Compare group NPD
• Brandon Michael Soldano, D.C.

  • Chiropractor
  • Coldwater, MI
  • NPI 1427487578

  IN

  Medicare reassignment Care Compare group NPD
• Shelby Joel Wendel, DC

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1265020192
  NPD

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1821335936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 FLAGSTAFF CV",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154416",
            "telephone_number": "260-245-0460",
            "fax_number": "260-245-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 FLAGSTAFF CV",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154416",
            "telephone_number": "260-245-0460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Union Chapel Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468459357",
            "country_code": "US",
            "telephone_number": "260-245-0460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHEAST CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "OSENGA",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-245-0460",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002385A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.