Ideal Spine LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

IDEAL SPINE LLC

Doing business as

Apex Chiropractic and Wellness

Practice address

12749 Meeting House Rd Ste 100
Carmel, IN 46032-7399

Phone

(317) 452-5170

NPI assigned

Feb 19, 2025

Last updated

Apr 22, 2025By 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

Dr. Sean Ellingworth, DCNPI 1386153047

Title

Owner

Phone

(317) 452-5170

Specialties & licenses 1

Addresses

Other names 1

• Apex Chiropractic and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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.

• Sean Phillip Ellingworth, DC

  • Chiropractor
  • Carmel, IN
  • NPI 1386153047
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1902601297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12749 MEETING HOUSE RD STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327399",
            "telephone_number": "317-452-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12749 MEETING HOUSE RD STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327399",
            "telephone_number": "317-452-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "ELLINGWORTH",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-452-5170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apex Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Carmel, IN
• Providers in Carmel, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.