ACTIVE CHIROPRACTIC CLINIC INC


Address: 5845 Sunnyside Rd, Suite 800, Indianapolis, IN 46235-8402
Phone: 3178262273

ACTIVE CHIROPRACTIC CLINIC INC (NPI# 1427233485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427233485
Entity Type Organization
Organization Name ACTIVE CHIROPRACTIC CLINIC INC
Practice Address 5845 Sunnyside Rd
Suite 800
Indianapolis
IN 46235-8402
Practice Telephone 3178262273
Practice Fax Number 3178262673
Mailing Telephone 3178262273
Mailing Fax Number 3178262673
Enumeration Date 2008-01-08
Last Update Date 2008-02-06
Authorized Official Name DR. TIMOTHY J KISTLER (PRESIDENT)
Authorized Official Telephone 3178262273
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NS0005X Chiropractor
Specialization: Sports Physician
08001237 IN Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN BCBS 000000344943 01
IN RR MEDICARE P00006924 01

Office Location

Street Address 5845 SUNNYSIDE RD
SUITE 800
City INDIANAPOLIS
State IN
Zip Code 46235-8402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043366347 Timothy J Kistler Chiropractor 5845 Sunnyside Rd, Suite 800, Indianapolis, IN 46235-8402 2007-01-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598313769 Patricia Woodfaulk Student in an Organized Health Care Education/Training Program 4660 Birmingham Drive, Indianapolis, IN 46235 2019-08-30
1447743794 Pamela Zirkle Counselor 4126 E. 10th St., Indianapolis, IN 46235 2018-06-12
1619467560 Ronkisha L Russell Behavior Technician 9905 Fallcreek Rd, Indianapolis, IN 46235 2018-05-16
1386134690 Kaitlin Abigail Waltz Behavior Technician 9905 Fall Creek Rd., Indianapolis, IN 46235 2018-05-11
1386132546 Alexis Halpen Behavior Technician Damar Aba, 9905 Fall Creek Rd, Indianapolis, IN 46235 2018-04-24
1881712719 Georgia Marie Brooks Registered Nurse 4065 Congaree Drive, Indianapolis, IN 46235 2007-03-27
1417042003 The Health and Hospital Corporation of Marion County Pharmacy 9443 E 38th St, Indianapolis, IN 46235 2006-10-03
1366869828 Mark M. Jamerson Counselor 9612 English Oak Dr, Indianapolis, IN 46235-1100 2014-03-23
1679981476 Sylvester Carr Jr. Counselor 9443 Pepperidge Dr, Indianapolis, IN 46235-1162 2014-07-25
1366067159 Amdaway Ibrahim Counselor 4013 Baker Dr, Indianapolis, IN 46235-1573 2020-06-08
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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841489887 Chukwuemeka Kelechi Chidebelu-eze Chiropractor 819 Auburn Hill Dr, G, Indianapolis, IN 46224-7137 2007-10-16
1043366347 Timothy J Kistler Chiropractor 5845 Sunnyside Rd, Suite 800, Indianapolis, IN 46235-8402 2007-01-27
1366513475 Sheila Lanell Wilson Chiropractor 5637 W 56th St, Indianapolis, IN 46254-1652 2006-11-11
1689846560 Apex Therapy Clinic, PC Chiropractor 6905 E 96th St, Suite 600, Indianapolis, IN 46250-4453 2008-03-31
1639392640 Matthew James Bauer Chiropractor 6905 E 96th St, Suite 600, Indianapolis, IN 46250-4448 2007-04-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407497274 Alexander Sarpa Chiropractor 40 Executive Dr Ste E, Carmel, IN 46032-5478 2019-10-03
1659794790 Maxlife Chiropractic Chiropractor 9865 E 116th St Ste 150, Fishers, IN 46037-9239 2014-01-25
1598098766 Bremen Chiropractic Center PC Chiropractor 204 E Plymouth Street, Bremen, IN 46506-1238 2009-09-04
1518148493 Binder Chiropractic Chiropractor 326 Blackman St, Clinton, IN 47842-2309 2007-11-19
1801927561 Andrew Gerard Dibley Chiropractor 1709 E Bristol St, Elkhart, IN 46514-6606 2007-03-07
1063561793 Wiliam George Garl Chiropractor 204 E Plymouth St, Bremen, IN 46506-1238 2007-01-10
1114017084 G. Lyman Shaw Chiropractor 17 Motif Blvd, Brownsburg, IN 46112-1017 2006-10-13
1467469858 David Lee Holliday Chiropractor 930 West North St., Kendallville, IN 46755 2006-08-01
1821027087 Graeme Guy Van Matre Chiropractor 421 W Main St, Westfield, IN 46074-9550 2006-07-01
1982656328 Stacey Scot Conrad Chiropractor 8924 E 96th St, Fishers, IN 46037-9648 2006-05-16
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Competitor

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City INDIANAPOLIS
Zip Code 46235

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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