Organization Active NPI

Chiropractic Health and Max Performance, LLC

  • Chiropractor
  • Noblesville, IN
National Provider Identifier
1841676046
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002635A Issued in IN
Legal business name
CHIROPRACTIC HEALTH AND MAX PERFORMANCE, LLC
Practice address
9625 E 150 St
Ste 105
Noblesville, IN 46060-5626
Phone
(317) 219-4980
Fax
(331) 442-4902
NPI assigned
Aug 11, 2015
Last updated
Aug 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Ian M Stone, DCNPI 1679949812
Title
Owner
Phone
(317) 219-4980

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 08002635A IN Primary

Addresses

Primary practice location

9625 E 150 St
Ste 105
Noblesville, IN 46060-5626

Mailing address

9625 E 150 St
Ste 105
Noblesville, IN 46060-5626
Phone (317) 219-4980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170707003056 IN Part B Supplier - Clinic/Group Practice 2668741521 Receives reassigned benefits from 1 practitioner
Practice locations: Elkhart, IN; Fishers, IN

National Provider Directory

National Provider Directory

Locations

1424 Johnson St
Elkhart, IN 46514
Phone (219) 264-4151

12574 Promise Creek Ln
Ste 130
Fishers, IN 46038
Phone (317) 219-4980

9625 E 150th St
Ste 105
Noblesville, IN 46060
Phone (317) 219-4980

Practitioners & affiliated clinicians

Practitioners 2

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": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1841676046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 E 150 ST",
            "address_2": "STE 105",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605626",
            "telephone_number": "317-219-4980",
            "fax_number": "331-442-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 E 150 ST",
            "address_2": "STE 105",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605626",
            "telephone_number": "317-219-4980",
            "fax_number": "331-442-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH AND MAX PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-219-4980",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002635A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.