Organization Active NPI

Chiropractic Physicians P.C.

  • Chiropractor
  • Shipshewana, IN
National Provider Identifier
1952524985
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001953A Issued in IN
Legal business name
CHIROPRACTIC PHYSICIANS P.C.
Practice address
7960 W 450 N
Shipshewana, IN 46565-9003
Phone
(260) 768-4061
Fax
(260) 768-4698
NPI assigned
Apr 10, 2007
Last updated
Oct 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Dr. Benjamin Lee Younts, D.C., L.A.C.NPI 1497741102
Title
Cheif Executive Officer
Phone
(260) 768-4061

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
Chiropractor 111N00000X 08001953A IN Primary

Addresses

Primary practice location

7960 W 450 N
Shipshewana, IN 46565-9003

Mailing address

7960 W 450 N
Shipshewana, IN 46565-9003
Phone (260) 768-4061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050726000962 IN Part B Supplier - Clinic/Group Practice 4486681947 Receives reassigned benefits from 1 practitioner
Practice locations: Shipshewana, IN

National Provider Directory

National Provider Directory

Locations

7960 W 450 N
Shipshewana, IN 46565
Phone (260) 768-4061

935 N Van Buren St
Ste 2
Shipshewana, IN 46565
Phone (260) 768-4061

Practitioners & affiliated clinicians

Practitioners 3

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1952524985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 W 450 N",
            "city": "SHIPSHEWANA",
            "state": "IN",
            "postal_code": "465659003",
            "telephone_number": "260-768-4061",
            "fax_number": "260-768-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 W 450 N",
            "city": "SHIPSHEWANA",
            "state": "IN",
            "postal_code": "465659003",
            "telephone_number": "260-768-4061",
            "fax_number": "260-768-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC PHYSICIANS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "YOUNTS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHEIF  EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "260-768-4061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.A.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001953A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shipshewana, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.