Individual provider Active NPI

Mary Anne Galli, D.C.

  • Chiropractor
  • Crown Point, IN
National Provider Identifier
1972511251
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001500 Issued in IN
Practice address
1180A E. Summit St
Crown Point, IN 46307-2729
Phone
(219) 662-2345
Fax
(219) 662-2685
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001500 IN Primary

Addresses

Primary practice location

1180A E. Summit St
Crown Point, IN 46307-2729

Mailing address

1180A E. Summit St
Crown Point, IN 46307-2729
Phone (219) 662-2345

Other identifiers 1

IdentifierTypeStateIssuer
100352370MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001500INMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1972511251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180A E. SUMMIT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072729",
            "telephone_number": "219-662-2345",
            "fax_number": "219-662-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180A E. SUMMIT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072729",
            "telephone_number": "219-662-2345",
            "fax_number": "219-662-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLI",
        "first_name": "MARY ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100352370",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.