Angola Family Chiropractic & Integrative Healing Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ANGOLA FAMILY CHIROPRACTIC & INTEGRATIVE HEALING CENTER, LLC

Practice address

114 E Maumee St Ste 101
Angola, IN 46703-1978

Phone

(260) 667-8269

NPI assigned

Dec 18, 2018

Last updated

Dec 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Fidler, DCNPI 1942724836

Title

Owner

Phone

(260) 667-8269

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Jamie Lee Fidler, DC

  • Chiropractor
  • Angola, IN
  • NPI 1942724836
  Authorized official Same address or phone

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1841762663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E MAUMEE ST STE 101",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E MAUMEE ST STE 101",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031978",
            "telephone_number": "260-667-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGOLA FAMILY CHIROPRACTIC & INTEGRATIVE HEALING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "FIDLER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-667-8269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942724836",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Oncology Partners, P.a. (Fort Wayne Medical Oncology and Hematology)
• April M Anderson
• Elizabeth A Andres, LCSW
• Anesthesia Associates of Northern Indiana, PC
• Angola Dental Services, P.C. (Angola Dental Center)
• Angola Family Dentistry, LLC (Gabet Family Dentistry)
• Angola Obstetrics & Gynecology PC
• Angola Physical Therapy, Inc.
• David Allen Anzelmo, P.T.
• Elizabeth Maria Anzelmo, P.T.

• Chiropractor in Angola, IN
• Providers in Angola, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.