BRIAN WATTERS DC LLC (NPI# 1720358047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720358047 |
| Entity Type | Organization |
| Organization Name | BRIAN WATTERS DC LLC |
| Other Organization Name | INDY MUSCLE & JOINT CLINIC |
| Practice Address |
11691 Fall Creek Rd Ste 110 Indianapolis IN 46256-9448 |
| Practice Telephone | 3176881711 |
| Practice Fax Number | 3172884041 |
| Mailing Telephone | 3176881711 |
| Mailing Fax Number | 3172884041 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | BRIAN WATTERS (MEMBER) |
| Authorized Official Telephone | 3175178543 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 111N00000X | Chiropractor | 08002617A | IN | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Indy Muscle & Joint Clinic | Doing Business As Name - Organization |
| Street Address |
11691 FALL CREEK RD STE 110 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46256-9448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
| 1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| 1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
| 1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
| 1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| Find all providers in zip 46256 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737552 | Molly Vyzral | Chiropractor | 8770 Guion Rd Ste L, Indianapolis, IN 46268-3017 | 2020-10-09 |
| 1912529082 | Traci Gross | Chiropractor | 1460 W 86th St, Indianapolis, IN 46260-2181 | 2020-05-12 |
| 1154954972 | James Mccluskey | Chiropractor | 5935 Grandiose Dr, Indianapolis, IN 46228-4308 | 2020-02-20 |
| 1417587890 | Abigail Wade | Chiropractor | 6155 N Keystone Ave Ste 700, Indianapolis, IN 46220-1485 | 2020-01-24 |
| 1689204174 | Jennifer Brenneisen | Chiropractor | 971 N Delaware St, Indianapolis, IN 46202-3377 | 2020-01-23 |
| 1467082198 | Arden Burch | Chiropractor | 5111 E 65th St, Indianapolis, IN 46220-4816 | 2020-01-22 |
| 1053951137 | Restoration Family Chiropractic | Chiropractor | 5915 S Emerson Ave Ste 400, Indianapolis, IN 46237-1972 | 2020-01-07 |
| 1700432002 | Carter Yoder Chiropractic LLC | Chiropractor | 7855 S Emerson Ave Ste Q, Indianapolis, IN 46237-8669 | 2019-08-13 |
| 1750935946 | Chiro One Wellness Center of Indianapolis North LLC | Chiropractor | 6612 E 75th St Ste 110, Indianapolis, IN 46250-2821 | 2019-07-26 |
| 1376026393 | Eric Anthony Wolf | Chiropractor | 410 S Mitthoeffer Rd, Indianapolis, IN 46229-3058 | 2018-09-14 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46256 |
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| 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.