Organization Active NPI

Noblesville Family Chiropractic, LTD

Doing business as Noblesville Family Chiropractic

  • Chiropractor
  • Noblesville, IN
National Provider Identifier
1861832248
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002715A Issued in IN
Legal business name
NOBLESVILLE FAMILY CHIROPRACTIC, LTD
Doing business as
Noblesville Family Chiropractic
Practice address
953 Maple Ave
Noblesville, IN 46060-2603
Phone
(317) 214-7218
Fax
(317) 314-7213
NPI assigned
Jun 28, 2013
Last updated
Aug 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Dr. Bradley A Dahlager, D.C.NPI 1356522007
Title
Owner/President
Phone
(630) 699-6840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002715A IN Primary

Addresses

Primary practice location

953 Maple Ave
Noblesville, IN 46060-2603

Mailing address

953 Maple Ave
Noblesville, IN 46060-2603
Phone (317) 214-7218

Other names 1

  • Noblesville Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131109000450 IN Part B Supplier - Clinic/Group Practice 4587899067 Receives reassigned benefits from 1 practitioner
Practice locations: Noblesville, IN

National Provider Directory

National Provider Directory
Tax ID family
Bolingbrook Family Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

953 Maple Ave
Noblesville, IN 46060
Phone (317) 214-7218

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1861832248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 MAPLE AVE",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602603",
            "telephone_number": "317-214-7218",
            "fax_number": "317-314-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 MAPLE AVE",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602603",
            "telephone_number": "317-214-7218",
            "fax_number": "317-314-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLESVILLE FAMILY CHIROPRACTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "DAHLAGER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "630-699-6840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002715A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noblesville Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.