Individual provider Active NPI

Alec Kebrdle, DC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1851005151
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003480A Issued in IN
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

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14352FLMDChiropractor
08003480AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mawn Chiropractic PA Chiropractor PastSince Jan 1, 2023 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.

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.

Verify at the official NPI Registry.