Individual provider Active NPI

Donald Paul Warren, DC

  • Chiropractor
  • Osceola, IN
National Provider Identifier
1922085315
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001279 Issued in IN
Practice address
5432 Lincolnway East
Osceola, IN 46561
Phone
(574) 679-0100
Fax
(574) 675-9586
NPI assigned
Dec 27, 2005
Last updated
Dec 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001279 IN Primary

Addresses

Primary practice location

5432 Lincolnway East
Osceola, IN 46561

Mailing address

PO Box 139
Osceola, IN 46561-0139
Phone (574) 679-0100

Other identifiers 3

IdentifierTypeStateIssuer
000000089524OtherINANTHEM
100468590MedicaidIN
168920OtherINPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000782 IN Practitioner - Chiropractic 9537197165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spinalign PCGroup PAC ID 2365470994, 2 clinicians

Practice addresses (Care Compare)

5432 Lincolnway E
Osceola, IN 46561-1960
Phone (574) 679-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001279INMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spinalign PC Chiropractor CurrentSince Jan 1, 1994 Accepting new patients
3D Scoliosis Brace, LLC PastSince Jan 1, 1994 Accepting new patients

Locations

5432 Lincolnway E
Osceola, IN 46561
Phone (574) 679-0100

Organizations & group practices 2

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1922085315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 139",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465610139",
            "telephone_number": "574-679-0100",
            "fax_number": "574-675-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432 LINCOLNWAY EAST",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "46561",
            "telephone_number": "574-679-0100",
            "fax_number": "574-675-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "DONALD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000089524",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100468590",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "168920",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.