Active NPI
Robert John Fury Jr., D.C.
- Chiropractor
- Fishers, IN
National Provider Identifier
1902921950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001809A
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000093147 | Other | IN | BCBS |
| 200205860 | Medicaid | IN | |
| 000000093147 | Other | IN | UNICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08001809A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RJ Fury Chiropractic LLC | Chiropractor | Current | 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.