Organization Active NPI

Ewing Chiropractic Family Clinic Inc PC

  • Chiropractor
  • Shelbyville, IN
National Provider Identifier
1982864484
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000466 Issued in IN
Legal business name
EWING CHIROPRACTIC FAMILY CLINIC INC PC
Practice address
103 S Tompkins St
Shelbyville, IN 46176-1207
Phone
(317) 398-4404
Fax
(317) 398-2225
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Dr. Roger Ewing, DCNPI 1013042308
Title
President
Phone
(317) 398-4404

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 08000466 IN Primary

Addresses

Primary practice location

103 S Tompkins St
Shelbyville, IN 46176-1207

Mailing address

103 S Tompkins St
Shelbyville, IN 46176-1207
Phone (317) 398-4404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080924000001 IN Part B Supplier - Clinic/Group Practice 9032286612 Receives reassigned benefits from 2 practitioners
Practice locations: Shelbyville, IN

National Provider Directory

National Provider Directory

Locations

103 S Tompkins St
Shelbyville, IN 46176
Phone (317) 389-4404

Practitioners & affiliated clinicians

Practitioners 2

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": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1982864484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S TOMPKINS ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761207",
            "telephone_number": "317-398-4404",
            "fax_number": "317-398-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S TOMPKINS ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761207",
            "telephone_number": "317-398-4404",
            "fax_number": "317-398-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWING CHIROPRACTIC FAMILY CLINIC INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-398-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.