Active NPI
Munster Chiropractic, Incorporated
- Chiropractor
- Highland, IN
National Provider Identifier
1962608554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009000862 | Other | IL | BLUE CROSS ANDBLUE SHIELD |
| 100212520A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Valparaiso, IN
- NPI 1407983992
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.