Organization Active NPI

Munster Chiropractic, Incorporated

  • Chiropractor
  • Highland, IN
National Provider Identifier
1962608554
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MUNSTER CHIROPRACTIC, INCORPORATED
Practice address
2833 Lincoln St
Suite a
Highland, IN 46322-1924
Phone
(219) 838-4880
Fax
(219) 838-4880
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Dr. Edward Scott Kawecki, D.C.
Title
President
Phone
(219) 838-4880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2833 Lincoln St
Suite a
Highland, IN 46322-1924

Mailing address

2833 Lincoln St
Suite a
Highland, IN 46322-1924
Phone (219) 838-4880

Other identifiers 2

IdentifierTypeStateIssuer
009000862OtherILBLUE CROSS ANDBLUE SHIELD
100212520AMedicaidIN

National Provider Directory

National Provider Directory

Locations

2833 Lincoln St
Highland, IN 46322
Phone (219) 838-1581

2833 Lincoln St
Ste A
Highland, IN 46322
Phone (219) 838-4880

Practitioners & affiliated clinicians

Practitioners 1

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": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1962608554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 LINCOLN ST",
            "address_2": "SUITE A",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221924",
            "telephone_number": "219-838-4880",
            "fax_number": "219-838-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 LINCOLN ST",
            "address_2": "SUITE A",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221924",
            "telephone_number": "219-838-4880",
            "fax_number": "219-838-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSTER CHIROPRACTIC, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "KAWECKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-838-4880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ANDBLUE SHIELD",
            "identifier": "009000862",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212520A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.