Individual provider Active NPI

Nicholas Altherr, DC

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1982290888
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003182A Issued in IN
Practice address
10330 Coldwater Rd
Fort Wayne, IN 46825-2033
Phone
(317) 460-3817
NPI assigned
Dec 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003182A IN Primary

Addresses

Primary practice location

10330 Coldwater Rd
Fort Wayne, IN 46825-2033

Mailing address

10236 Unita Dr
Fort Wayne, IN 46804-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201230001622 IN Practitioner - Chiropractic 5698188126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Storm Chiropractic Clinic LLCGroup PAC ID 7315176724, 4 clinicians

Practice addresses (Care Compare)

622 N Madison Ave
Suite 9
Greenwood, IN 46142-4052
Phone (317) 885-8520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003182AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Storm Chiropractic Clinic LLC Chiropractor CurrentSince Nov 1, 2021 Accepting new patients

Locations

622 N Madison Ave
Ste 9
Greenwood, IN 46142
Phone (317) 653-5872

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1982290888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10236 UNITA DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252033",
            "telephone_number": "317-460-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTHERR",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003182A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.