Chiro One Wellness Center of Broad Ripple, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIRO ONE WELLNESS CENTER OF BROAD RIPPLE, LLC

Practice address

5858 N College Ave
Indianapolis, IN 46220-2552

Phone

(317) 401-8075

NPI assigned

Apr 6, 2021

Last updated

Apr 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam Wang, DCNPI 1073520136

Title

Coo

Phone

(630) 468-1824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 5

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.

• Dana Florence, DC

  • Chiropractor
  • Indianapolis, IN
  • NPI 1295569135
  Medicare reassignment NPD
• Cody Senkyr, D.C.

  • Chiropractor
  • Clarkston, MI
  • NPI 1518337377

  IN

  Medicare reassignment NPD
• Kaira Rodriguez Benitez, DC

  • Chiropractor
  • Indianapolis, IN
  • NPI 1275345126
  Medicare reassignment
• Sam Wang, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1073520136
  Authorized official Same address or phone
• Stuart Bernsen, D.C.

  • Chiropractor
  • Evanston, IL
  • NPI 1386691566
  NPD (past)

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1881273910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "630-229-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 N COLLEGE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202552",
            "telephone_number": "317-401-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF BROAD RIPPLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "630-468-1824",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalyan Kumar Chintapalli, PT
• Jayender Reddy Chintaparthi, MD
• Juliet Ujunwa Chinweze, PMHNP-BC
• Chiro 1St PC of Indiana
• Chiro 1St PC of Indiana
• Chiro One Wellness Center of Geist LLC
• Chiro One Wellness Center of Indianapolis North LLC
• Chiro-Black-Tech (Healthy Alliances in Alternative Health and Healing Association)
• Chiropractic and Wellness Center, PC
• Chiropractic Neurology Center of Indianapolis, PC

• 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 Apr 6, 2021; 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.