Individual provider Active NPI

Robert John Fury Jr., D.C.

  • Chiropractor
  • Fishers, IN
National Provider Identifier
1902921950
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001809A Issued in IN
Practice address
11501 Cumberland Rd
#100
Fishers, IN 46037-7005
Phone
(317) 578-7700
Fax
(317) 577-9355
NPI assigned
Mar 20, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001809A IN Primary

Addresses

Primary practice location

11501 Cumberland Rd
#100
Fishers, IN 46037-7005

Mailing address

11501 Cumberland Rd
#100
Fishers, IN 46037-7005
Phone (317) 578-7700

Other identifiers 3

IdentifierTypeStateIssuer
000000093147OtherINBCBS
200205860MedicaidIN
000000093147OtherINUNICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000926 IN Practitioner - Chiropractic 4183538689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11501 Cumberland Rd
Suite 100
Fishers, IN 46037-7006
Phone (317) 578-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001809AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
RJ Fury Chiropractic LLC Chiropractor CurrentSince Sep 1, 1998 Accepting new patients

Locations

11501 Cumberland Rd
Ste 100
Fishers, IN 46037
Phone (317) 578-7700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902921950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 CUMBERLAND RD",
            "address_2": "#100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377005",
            "telephone_number": "317-578-7700",
            "fax_number": "317-577-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 CUMBERLAND RD",
            "address_2": "#100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377005",
            "telephone_number": "317-578-7700",
            "fax_number": "317-577-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURY",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001809A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000093147",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200205860",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "000000093147",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.