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JEREMY NOEL GONZALEZ
NPI 1548078009
Chiropractor in Lafayette, IN

Active since December 30, 2024
12 ELSTON RD, LAFAYETTE, IN 47909(765) 477-7707 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Noel Gonzalez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY NOEL GONZALEZ (NPI 1548078009) is an individual chiropractor in Lafayette, Indiana, licensed in Indiana (08003486A) and active in the NPI registry since December 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1548078009
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJEREMY NOEL GONZALEZ
Location Address12 ELSTON RDLafayette, IN 47909-7000
Mailing Address12 Elston RdLafayette, IN 47909-7000 · (765) 477-7707
Phone(765) 477-7707
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 30, 2024
NPPES CertifiedDecember 30, 2024
✔ NPI 1548078009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IN · 08003486A
Definition
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.
12 ELSTON RD, Lafayette, IN 47909
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Noel Gonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325547383
PECOS Enrollment IDI20250816000332

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAFAYETTE INTEGRATIVE HEALTH CENTER
General Practice
12 ELSTON RD
LAFAYETTE, IN 47909
Tippecanoe County (765) 477-7707
DR. SAMANTHA A KREINBRING DC
Chiropractor
12 ELSTON RD
LAFAYETTE, IN 47909
Tippecanoe County (765) 477-7707
TAYLOR CLIFFORD DC
Chiropractor
12 ELSTON RD
LAFAYETTE, IN 47909
Tippecanoe County (765) 477-7707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Gonzalez's NPI number?

The NPI number for Jeremy Gonzalez is 1548078009. It was assigned to this individual provider in the NPPES registry on December 30, 2024.

Where is Jeremy Gonzalez located?

Jeremy Gonzalez practices at 12 Elston Rd, Lafayette, IN 47909. The listed phone number is (765) 477-7707.

What is Jeremy Gonzalez's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jeremy Gonzalez enrolled in Medicare?

Yes. Jeremy Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Gonzalez was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.