Organization Active NPI

William L Ingle PLLC

  • Chiropractor
  • Ludington, MI
National Provider Identifier
1841697000
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005648 Issued in MI
Legal business name
WILLIAM L INGLE PLLC
Doing business as
Ingle Family Chiropractic Center
Practice address
321 N Jebavy Dr
Ludington, MI 49431-1923
Phone
(231) 843-4088
Fax
(231) 845-2753
NPI assigned
Dec 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Dr. William L Ingle, DCNPI 1164602280
Title
Member
Phone
(231) 843-4088

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2301005648 MI Primary

Addresses

Primary practice location

321 N Jebavy Dr
Ludington, MI 49431-1923

Mailing address

321 N Jebavy Dr
Ludington, MI 49431-1923
Phone (231) 843-4088

Other identifiers 2

IdentifierTypeStateIssuer
DG5641OtherMIPALMETTO
2717248MedicaidMI

Other names 1

  • Ingle Family Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150116000105 MI Part B Supplier - Clinic/Group Practice 6901120161 Receives reassigned benefits from 1 practitioner
Practice locations: Ludington, MI

National Provider Directory

National Provider Directory

Locations

321 N Jebavy Dr
Ludington, MI 49431
Phone (231) 843-4088

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": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1841697000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N JEBAVY DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311923",
            "telephone_number": "231-843-4088",
            "fax_number": "231-845-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N JEBAVY DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311923",
            "telephone_number": "231-843-4088",
            "fax_number": "231-845-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L INGLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "INGLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "231-843-4088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "DG5641",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2717248",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ingle Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.