Spinalcare Physical Medicine LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINALCARE PHYSICAL MEDICINE LLC

Practice address

114 N Avon Ave
Avon, IN 46123-8475

Phone

(317) 272-4100

Fax

(317) 272-4110

NPI assigned

Jun 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. John A Dettmer, D.C.

Title

Owner

Phone

(317) 272-4100

Specialties & licenses 3

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Dale Coleman, DC

  • Chiropractor
  • Avon, IN
  • NPI 1871722884
  NPD (past)
• Jasmine Simmons, OTR

  • Occupational Therapist
  • Avon, IN
  • NPI 1467084061
  NPD (past)
• Ted Matthews III, D.C.

  • Rehabilitation Chiropractor
  • Monroeville, PA
  • NPI 1467990952
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1942563259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N AVON AVE",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238475",
            "telephone_number": "317-272-4100",
            "fax_number": "317-272-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N AVON AVE",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238475",
            "telephone_number": "317-272-4100",
            "fax_number": "317-272-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINALCARE PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "DETTMER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-272-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyndi A Speelman, MD
• Michael Spencer, MA COUNSELING
• Annalisa Sperka, FNP-C
• Sydney Spice
• Spinalaid, LLC
• Gregory A Spurgin, M.D.
• Morgan Spurlock
• Eric B. Sputh, MD
• St. Vincent Health Wellness and Preventive Care Institute, Inc.
• St. Vincent Hospital & Health Care Center, Inc.

• Chiropractor in Avon, IN
• Providers in Avon, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.