Organization Active NPI

Family Chiropractic Associates, P.C.

  • Chiropractor
  • Auburn, IN
National Provider Identifier
1922126804
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001538 Issued in IN
Legal business name
FAMILY CHIROPRACTIC ASSOCIATES, P.C.
Practice address
460 N Grandstaff Dr
Auburn, IN 46706-1659
Phone
(260) 925-6686
Fax
(260) 925-6689
NPI assigned
Mar 27, 2007
Last updated
Aug 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Dr. Ronald E Ley, D.C.NPI 1043208424
Title
Owner,Physician
Phone
(260) 925-6686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001538 IN Primary

Addresses

Primary practice location

460 N Grandstaff Dr
Auburn, IN 46706-1659

Mailing address

460 N Grandstaff Dr
Auburn, IN 46706-1659
Phone (260) 925-6686

Other identifiers 3

IdentifierTypeStateIssuer
000000091344OtherINANTHEM
5898269OtherINAETNA
350037444OtherINPALMETTO MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150608001289 IN Part B Supplier - Clinic/Group Practice 7618156423 Receives reassigned benefits from 2 practitioners
Practice locations: Auburn, IN

National Provider Directory

National Provider Directory

Locations

460 N Grandstaff Dr
Auburn, IN 46706
Phone (260) 925-6686

705 N Grandstaff Dr
Auburn, IN 46706
Phone (260) 925-6686

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1922126804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N GRANDSTAFF DR",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467061659",
            "telephone_number": "260-925-6686",
            "fax_number": "260-925-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N GRANDSTAFF DR",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467061659",
            "telephone_number": "260-925-6686",
            "fax_number": "260-925-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "LEY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER,PHYSICIAN",
        "authorized_official_telephone_number": "260-925-6686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000091344",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5898269",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE",
            "identifier": "350037444",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.