Organization Active NPI

Midwest Chiropractic & Rehab

  • Chiropractor
  • Connersville, IN
National Provider Identifier
1871357913
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MIDWEST CHIROPRACTIC & REHAB
Practice address
208 W 20TH St
Connersville, IN 47331-2850
Phone
(765) 825-3521
Fax
(765) 825-8554
NPI assigned
Feb 8, 2024
Last updated
Mar 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Authorized official

Name
Dr. Clay Tenbarge, DCNPI 1710486105
Title
Ceo
Phone
(765) 825-3521

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 NU Primary

Addresses

Primary practice location

208 W 20TH St
Connersville, IN 47331-2850

Mailing address

208 W 20TH St
Connersville, IN 47331-2850
Phone (765) 825-3521

Other names 1

  • Midwest Chiropractic & Rehab, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240322000226 IN Part B Supplier - Clinic/Group Practice 8325485626 Receives reassigned benefits from 1 practitioner
Practice locations: Connersville, IN

National Provider Directory

National Provider Directory

Locations

208 W 20th St
Connersville, IN 47331
Phone (765) 825-3521

Practitioners & affiliated clinicians

Practitioners 3

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": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711238400000",
    "number": "1871357913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W 20TH ST",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312850",
            "telephone_number": "765-825-3521",
            "fax_number": "765-825-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W 20TH ST",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312850",
            "telephone_number": "765-825-3521",
            "fax_number": "765-825-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CHIROPRACTIC & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "TENBARGE",
        "authorized_official_first_name": "CLAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-825-3521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Chiropractic & Rehab, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2024; 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.