Organization Active NPI

Tri-State Chiropractic

  • Chiropractor
  • Angola, IN
National Provider Identifier
1841381654
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002459A Issued in IN
Legal business name
TRI-STATE CHIROPRACTIC
Practice address
2014 N Wayne St
Angola, IN 46703-9102
Phone
(260) 665-3106
NPI assigned
Sep 27, 2006
Last updated
Jul 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Dr. Robert Slusarski, D.C.NPI 1629047519
Title
Chiropractor
Phone
(517) 416-7478

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
Chiropractor 111N00000X 08002459A IN Primary

Addresses

Primary practice location

2014 N Wayne St
Angola, IN 46703-9102

Mailing address

2014 N Wayne St
Angola, IN 46703-9102
Phone (260) 665-3106

National Provider Directory

National Provider Directory
Tax ID family
Corrective Chiropractic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 Garlington Rd
Greenville, SC 29615
Phone (864) 905-1878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1841381654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 N WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467039102",
            "telephone_number": "260-665-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 N WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467039102",
            "telephone_number": "260-665-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "SLUSARSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "517-416-7478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002459A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angola, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.