1. Home
  2. Directory
  3. Indiana
  4. Muncie
  5. Chiropractor
  6. NPI Profile

TRI COUNTY CLINIC LLC
NPI 1689267965
Chiropractor in Muncie, IN

Active since February 17, 2021
3711 N EVERBROOK LN, MUNCIE, IN 47304(707) 694-9400(844) 308-7600 Get Directions Write a Review

NPPES record last updated: March 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 18, 2021, Feb 17, 2021 (2 updates tracked since 2021).

About Tri County Clinic Llc NPPES

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

TRI COUNTY CLINIC LLC (NPI 1689267965) is a healthcare organization registered as a chiropractor in Muncie, Indiana and active in the NPI registry since February 2021. The organization lists David Warren Anderson, Owner/pres/ceo/sec Tres, as its authorized official.

NPPES Registry Identity

NPI1689267965
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTRI COUNTY CLINIC LLC
Location Address3711 N EVERBROOK LNMuncie, IN 47304-5270
Mailing Address3620 N Everbrook Ln Ste CMuncie, IN 47304-5260 · (707) 694-9400
Phone(707) 694-9400
Fax(844) 308-7600
Organization SubpartNo
Authorized OfficialDavid Warren AndersonOwner/pres/ceo/sec Tres · (707) 694-9400
Enumeration DateFebruary 17, 2021
Last NPPES UpdateMarch 30, 20242 updates tracked since enumeration
NPPES CertifiedMarch 30, 2024
✔ NPI 1689267965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
3711 N EVERBROOK LN, Muncie, IN 47304
Open in Google Maps ↗

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tri County Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tri County Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Anderson, DC
Chiropractic
NPI 1316975634
3620 N EVERBROOK LN STE C
Muncie, IN 47304
(765) 896-5155
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tri County Clinic LLC's NPI number?

The NPI number for Tri County Clinic LLC is 1689267965. It was assigned to this organization in the NPPES registry on February 17, 2021.

Where is Tri County Clinic LLC located?

Tri County Clinic LLC is located at 3711 N Everbrook Ln, Muncie, IN 47304. The listed phone number is (707) 694-9400.

What is Tri County Clinic LLC's specialty?

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

Is Tri County Clinic LLC enrolled in Medicare?

Yes. Tri County Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri County Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Tri County Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tri County Clinic LLC was last updated on March 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.