NPIMap

Organization Active NPI

Tipton Chiropractic Center Inc

  • Chiropractor
  • Tipton, IN
National Provider Identifier
1992991541
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001593 Issued in IN
Legal business name
TIPTON CHIROPRACTIC CENTER INC
Practice address
614 E Jefferson St
Tipton, IN 46072-1918
Phone
(765) 675-8733
Fax
(765) 675-7121
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. John M Lewis, D.C.
Title
President
Phone
(765) 675-8733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001593 IN Primary

Addresses

Primary practice location

614 E Jefferson St
Tipton, IN 46072-1918

Mailing address

PO Box 136
Tipton, IN 46072-0136
Phone (765) 675-8733

Other identifiers 1

IdentifierTypeStateIssuer
200493970AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1992991541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460720136",
            "telephone_number": "765-675-8733",
            "fax_number": "765-675-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E JEFFERSON ST",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460721918",
            "telephone_number": "765-675-8733",
            "fax_number": "765-675-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPTON CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-675-8733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200493970A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tipton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.