Broad Ripple Ave Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

IN08001498 Issued in IN

Legal business name

BROAD RIPPLE AVE CHIROPRACTIC, P.C.

Practice address

4760 E 62ND St
Indianapolis, IN 46220-5234

Phone

(317) 255-4222

Fax

(317) 251-3801

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eric B Morris, D.C.

Title

President/Owner

Phone

(317) 255-4222

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1851586606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20884",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462200884",
            "telephone_number": "317-255-4222",
            "fax_number": "317-251-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 E 62ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205234",
            "telephone_number": "317-255-4222",
            "fax_number": "317-251-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD RIPPLE AVE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "317-255-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "IN08001498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100441610",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000222754",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jada Gabrielle Britton
• Lori Lynn Britton, MA
• Angela G Brittsan, M.D.
• Ella Brizendine, RBT
• Timothy J Broach, MD
• Broad Ripple Dental Arts LLC
• Broad Ripple Family Dental, LLC
• Broad Ripple Pediatrics
• Broad Ripple Pediatrics, LLC
• Jennifer L Broaddus, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.