Organization Active NPI

Core Training Centers, Inc.

  • Chiropractor
  • Fishers, IN
National Provider Identifier
1962412148
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001968A Issued in IN
Legal business name
CORE TRAINING CENTERS, INC.
Practice address
8481 Fishers Center Dr
Fishers, IN 46038-2318
Phone
(317) 570-1944
Fax
(317) 570-1929
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. Shannon J. Wise, D.C.NPI 1447260302
Title
President
Phone
(317) 570-1944

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 08001968A IN Primary

Addresses

Primary practice location

8481 Fishers Center Dr
Fishers, IN 46038-2318

Mailing address

8481 Fishers Center Dr
Fishers, IN 46038-2318
Phone (317) 570-1944

Other identifiers 1

IdentifierTypeStateIssuer
200364220MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070723000467 IN Part B Supplier - Clinic/Group Practice 9234230152 Receives reassigned benefits from 1 practitioner
Practice locations: Fishers, IN

National Provider Directory

National Provider Directory

Locations

7227 Fishers Landing Dr
Fishers, IN 46038
Phone (317) 570-1944

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1962412148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8481 FISHERS CENTER DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382318",
            "telephone_number": "317-570-1944",
            "fax_number": "317-570-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8481 FISHERS CENTER DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382318",
            "telephone_number": "317-570-1944",
            "fax_number": "317-570-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE TRAINING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-570-1944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001968A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200364220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.