Active NPI
Alec Kebrdle, DC
- Chiropractor
- Indianapolis, IN
National Provider Identifier
1851005151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08003480A
- Practice address
- 1060 N Capitol Ave Ste A265
Indianapolis, IN 46204-1044 - Phone
- (317) 967-0440
- NPI assigned
- Jan 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14352 | FL | |
| Chiropractor | 111N00000X | 08003480A | IN | Primary |
Addresses
Primary practice location
1060 N Capitol Ave Ste A265
Indianapolis, IN 46204-1044
Mailing address
1060 N Capitol Ave Ste a-265
Indianapolis, IN 46204-1044
Phone (317) 967-0440
Other practice location 1
424 Skinner Blvd Apt D
Dunedin, FL 34698-4995
Phone (727) 330-6718
Other practice location 2
1060 N Capitol Ave Ste A265
Indianapolis, IN 46204-1044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14352 | FL | MD | Chiropractor |
| 08003480A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mawn Chiropractic PA | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- St Petersburg, FL
- NPI 1306418678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1851005151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 N CAPITOL AVE STE A-265",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462041044",
"telephone_number": "317-967-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 N CAPITOL AVE STE A265",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462041044",
"telephone_number": "317-967-0440"
}
],
"practiceLocations": [
{
"address_1": "424 Skinner Blvd Apt D",
"address_purpose": "LOCATION",
"city": "Dunedin",
"state": "FL",
"postal_code": "346984995",
"country_code": "US",
"telephone_number": "727-330-6718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1060 N Capitol Ave Ste A265",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462041044",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEBRDLE",
"first_name": "ALEC",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-11",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "14352",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08003480A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.