NPIMap

Organization Active NPI

Atlas Spine & Wellness Center Inc

  • Chiropractor
  • Fishers, IN
National Provider Identifier
1992213797
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003001A Issued in IN
Legal business name
ATLAS SPINE & WELLNESS CENTER INC
Practice address
10562 E 96TH St
Fishers, IN 46037-9643
Phone
(317) 588-0200
NPI assigned
Jan 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Dr. Blayne Baker, DCNPI 1295242758
Title
Owner
Phone
(317) 588-0200

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 08003001A IN Primary

Addresses

Primary practice location

10562 E 96TH St
Fishers, IN 46037-9643

Mailing address

10562 E 96TH St
Fishers, IN 46037-9643
Phone (317) 588-0200

Other names 1

  • Atlas Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180226002541 IN Part B Supplier - Clinic/Group Practice 4284995721 Receives reassigned benefits from 3 practitioners
Practice locations: Fishers, IN

National Provider Directory

National Provider Directory

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": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1992213797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10562 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379643",
            "telephone_number": "317-588-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10562 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379643",
            "telephone_number": "317-588-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS SPINE & WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BLAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-588-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003001A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlas Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.