Organization Active NPI

Eaton Chiropractic Inc

  • Chiropractor
  • Michigan City, IN
National Provider Identifier
1972713477
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002127 Issued in IN
Legal business name
EATON CHIROPRACTIC INC
Practice address
8690 W Pahs Rd
Michigan City, IN 46360-7666
Phone
(219) 872-5151
Fax
(219) 872-0177
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Mrs. Cathy Ann Eaton
Title
Owner Office Manager
Phone
(219) 872-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002127 IN Primary

Addresses

Primary practice location

8690 W Pahs Rd
Michigan City, IN 46360-7666

Mailing address

8690 W Pahs Rd
Michigan City, IN 46360-7666
Phone (219) 872-5151

Other identifiers 4

IdentifierTypeStateIssuer
000000506158OtherINBCBS PROVIDER NUMBER
1578569471OtherININDIVIDUAL PROVIDER NPI
08002127AOtherINSTATE LICENSE NUMBER
200469660AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070524000422 IN Part B Supplier - Clinic/Group Practice 3870690951 Receives reassigned benefits from 2 practitioners
Practice locations: Michigan City, IN

National Provider Directory

National Provider Directory

Locations

8690 W Pahs Rd
Michigan City, IN 46360
Phone (219) 872-5151

Interoperability endpoints

  • Direct secure messaging: doc@eci0003.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 6

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1972713477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8690 W PAHS RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607666",
            "telephone_number": "219-872-5151",
            "fax_number": "219-872-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8690 W PAHS RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607666",
            "telephone_number": "219-872-5151",
            "fax_number": "219-872-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER OFFICE MANAGER",
        "authorized_official_telephone_number": "219-872-5151",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "000000506158",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1578569471",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "08002127A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200469660A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.