Organization Active NPI

Runnels Chiropractic PC

  • Chiropractor
  • Richmond, IN
National Provider Identifier
1962898536
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RUNNELS CHIROPRACTIC PC
Practice address
32 S 9TH St
Richmond, IN 47374-5504
Phone
(765) 962-4476
Fax
(765) 962-4477
NPI assigned
Apr 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Casey W Runnels, DCNPI 1598034126
Title
Physician/Owner
Phone
(765) 962-4476

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 Primary

Addresses

Primary practice location

32 S 9TH St
Richmond, IN 47374-5504

Mailing address

32 S 9TH St
Richmond, IN 47374-5504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150626000108 IN Part B Supplier - Clinic/Group Practice 6305157785 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, IN

National Provider Directory

National Provider Directory

Locations

32 S 9th St
Richmond, IN 47374
Phone (765) 962-4476

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": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1962898536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 S 9TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S 9TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745504",
            "telephone_number": "765-962-4476",
            "fax_number": "765-962-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNNELS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "RUNNELS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "765-962-4476",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.