Organization Active NPI

Pestle Chiropractic & Sports Performance

  • Chiropractor
  • Lafayette, IN
National Provider Identifier
1861737835
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PESTLE CHIROPRACTIC & SPORTS PERFORMANCE
Practice address
2550 Elmwood Ave.
Lafayette, IN 47904-2351
Phone
(765) 838-3503
Fax
(765) 838-1613
NPI assigned
Dec 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Dr. Christopher Lynn Pestle, DC
Title
President
Phone
(765) 838-3503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2550 Elmwood Ave.
Lafayette, IN 47904-2351

Mailing address

2550 Elmwood Ave.
Lafayette, IN 47904-2351
Phone (765) 838-3503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130226000506 IN Part B Supplier - Clinic/Group Practice 5799930608 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, IN

National Provider Directory

National Provider Directory

Locations

3554 Promenade Pkwy
Ste A
Lafayette, IN 47909
Phone (765) 607-1131

2550 Elmwood Ave
Lafayette, IN 47904
Phone (765) 447-7887

Practitioners & affiliated clinicians

Practitioners 2

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": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1861737835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 ELMWOOD AVE.",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042351",
            "telephone_number": "765-838-3503",
            "fax_number": "765-838-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 ELMWOOD AVE.",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042351",
            "telephone_number": "765-838-3503",
            "fax_number": "765-838-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PESTLE CHIROPRACTIC & SPORTS PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "PESTLE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-838-3503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.