Individual provider Active NPI

Gavin Weltmer, DC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1891520938
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003409A Issued in IN
Practice address
2060 N Shadeland Ave Ste 200
Indianapolis, IN 46219-1764
Phone
(317) 635-3499
NPI assigned
Sep 6, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003409A IN Primary

Addresses

Primary practice location

2060 N Shadeland Ave Ste 200
Indianapolis, IN 46219-1764

Mailing address

2060 N Shadeland Ave Ste 200
Indianapolis, IN 46219-1764
Phone (317) 635-3499

Other practice location 1

4010 W Goeller Blvd
Columbus, IN 47201-8307
Phone (812) 799-0589

Other practice location 2

2403 Loy Dr
Lafayette, IN 47909-2701
Phone (765) 510-0058

Other practice location 3

4115 Office Plaza Blvd
Indianapolis, IN 46254-2408
Phone (317) 643-9689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2625 Butterfield Rd
Suite 301N
Oak Brook, IL 60523-3416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003409AINMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1891520938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 N SHADELAND AVE STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191764",
            "telephone_number": "317-635-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 N SHADELAND AVE STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191764",
            "telephone_number": "317-635-3499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 W Goeller Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472018307",
            "country_code": "US",
            "telephone_number": "812-799-0589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2403 Loy Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479092701",
            "country_code": "US",
            "telephone_number": "765-510-0058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4115 Office Plaza Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462542408",
            "country_code": "US",
            "telephone_number": "317-643-9689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELTMER",
        "first_name": "GAVIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-06",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003409A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.