Organization Active NPI

Wabash Chiropractic Center Inc PC

  • Chiropractor
  • Wabash, IN
National Provider Identifier
1972608602
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WABASH CHIROPRACTIC CENTER INC PC
Practice address
508 N Wabash St
Wabash, IN 46992-1709
Phone
(260) 563-8476
Fax
(260) 563-8477
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Authorized official

Name
Mr. David Lee Frischman, DCNPI 1841395571
Title
President
Phone
(260) 563-8476

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

508 N Wabash St
Wabash, IN 46992-1709

Mailing address

508 N Wabash St
Wabash, IN 46992-1709
Phone (260) 563-8476

Other identifiers 1

IdentifierTypeStateIssuer
100253490AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090902000233 IN Part B Supplier - Clinic/Group Practice 6901951623 Receives reassigned benefits from 2 practitioners
Practice locations: Wabash, IN

National Provider Directory

National Provider Directory

Locations

508 N Wabash St
Wabash, IN 46992
Phone (260) 563-8476

Practitioners & affiliated clinicians

Practitioners 3

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1972608602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N WABASH ST",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921709",
            "telephone_number": "260-563-8476",
            "fax_number": "260-563-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N WABASH ST",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921709",
            "telephone_number": "260-563-8476",
            "fax_number": "260-563-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH CHIROPRACTIC CENTER INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "FRISCHMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-563-8476",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253490A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabash, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.