Organization Active NPI

Clinton Chiropractic PC

  • Chiropractor
  • Clinton, IN
National Provider Identifier
1962630954
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000690A Issued in IN
Legal business name
CLINTON CHIROPRACTIC PC
Practice address
326 Blackman St
Clinton, IN 47842-2309
Phone
(765) 832-7777
Fax
(765) 832-7779
NPI assigned
Jun 29, 2009
Last updated
Jun 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Authorized official

Name
Dr. Duane Lawrence Binder, D.C.
Title
Owner
Phone
(765) 832-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08000690A IN Primary

Addresses

Primary practice location

326 Blackman St
Clinton, IN 47842-2309

Mailing address

326 Blackman St
Clinton, IN 47842-2309
Phone (765) 832-7777

Other identifiers 2

IdentifierTypeStateIssuer
88640OtherINANTHEM BCBS
350035054OtherINRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1962630954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 BLACKMAN ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422309",
            "telephone_number": "765-832-7777",
            "fax_number": "765-832-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 BLACKMAN ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422309",
            "telephone_number": "765-832-7777",
            "fax_number": "765-832-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "BINDER",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-832-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000690A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "88640",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350035054",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.