NPIMap

Organization Active NPI

Gibson County Chiropractic, LLC

  • Preferred Provider Organization
  • Princeton, IN
National Provider Identifier
1922264597
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
08002386A Issued in IN
Legal business name
GIBSON COUNTY CHIROPRACTIC, LLC
Practice address
116 N Main St
Princeton, IN 47670-1540
Phone
(812) 385-1200
Fax
(812) 385-0100
NPI assigned
Aug 4, 2008
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Dr. Trent L Phillips, D.C.NPI 1841466588
Title
Member/Owner
Phone
(812) 385-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 08002386A IN Primary

Addresses

Primary practice location

116 N Main St
Princeton, IN 47670-1540

Mailing address

116 N Main St
Princeton, IN 47670-1540
Phone (812) 385-1200

National Provider Directory

National Provider Directory

Locations

116 N Main St
Princeton, IN 47670
Phone (812) 385-1200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1922264597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701540",
            "telephone_number": "812-385-1200",
            "fax_number": "812-385-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701540",
            "telephone_number": "812-385-1200",
            "fax_number": "812-385-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON COUNTY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "812-385-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IN",
            "license": "08002386A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.