Individual provider Active NPI

Colin Chang, D.C.

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1932631603
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000002831 Issued in TN
Practice address
8322 Lakeshore Trail East Dr
Apt. 913
Indianapolis, IN 46250-4641
Phone
(904) 238-8706
NPI assigned
Mar 31, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000002831 TN Primary

Addresses

Primary practice location

8322 Lakeshore Trail East Dr
Apt. 913
Indianapolis, IN 46250-4641

Mailing address

8322 Lakeshore Trail East Dr
Apt. 913
Indianapolis, IN 46250-4641
Phone (904) 238-8706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC0000002831TNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1932631603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 LAKESHORE TRAIL EAST DR",
            "address_2": "APT. 913",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504641",
            "telephone_number": "904-238-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 LAKESHORE TRAIL EAST DR",
            "address_2": "APT. 913",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504641",
            "telephone_number": "904-238-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "COLIN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000002831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.