Individual provider Active NPI

Christian Blake Amonett, DC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1982437588
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003441A Issued in IN
Practice address
6025 Madison Ave Ste D
Indianapolis, IN 46227-4722
Phone
(317) 850-1196
NPI assigned
Aug 21, 2024
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003441A IN Primary

Addresses

Primary practice location

6025 Madison Ave Ste D
Indianapolis, IN 46227-4722

Mailing address

7114 McLain Dr
Indianapolis, IN 46217-4059
Phone (317) 850-1196

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08003441AINMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1982437588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 MCLAIN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462174059",
            "telephone_number": "317-850-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 MADISON AVE STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462274722",
            "telephone_number": "317-850-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMONETT",
        "first_name": "CHRISTIAN",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003441A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.