Organization Active NPI

Chiromed Plus, LLC

  • Chiropractor
  • Crawfordsville, IN
National Provider Identifier
1881007722
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROMED PLUS, LLC
Practice address
407 E Market St
Ste 102
Crawfordsville, IN 47933-1852
Phone
(765) 362-1500
Fax
(765) 361-8919
NPI assigned
Jun 9, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Jeffrey R. McIntyre, D.C.NPI 1376772525
Title
Owner
Phone
(765) 362-1500

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

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2136398Chiromed Plus, LLC407 East Market Street, Suite 102, Crawfordsville, IN 47933Certificate of waiverSep 7, 2027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140815001929 IN Part B Supplier - Clinic/Group Practice 7416174347 Receives reassigned benefits from 7 practitioners
Practice locations: Crawfordsville, IN

National Provider Directory

National Provider Directory

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

NPPES NPI Registry

Primary practice location

407 E Market St
Ste 102
Crawfordsville, IN 47933-1852

Mailing address

407 E Market St
Ste 102
Crawfordsville, IN 47933-1852
Phone (765) 362-1500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 24, 2015.

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1881007722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E MARKET ST",
            "address_2": "STE 102",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331852",
            "telephone_number": "765-362-1500",
            "fax_number": "765-361-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E MARKET ST",
            "address_2": "STE 102",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331852",
            "telephone_number": "765-362-1500",
            "fax_number": "765-361-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROMED PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-362-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.