96TH STREET CHIROPRACTIC, LLC
NPI 1710124631
Chiropractor in Indianapolis, IN
About 96th Street Chiropractic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
96TH STREET CHIROPRACTIC, LLC (NPI 1710124631) is a healthcare organization registered as a chiropractor in Indianapolis, Indiana and active in the NPI registry since January 2009. The organization lists Michael Flynn, Chiropractor/ Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
96th Street Chiropractic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to 96th Street Chiropractic, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 96th Street Chiropractic, LLC's NPI number?
The NPI number for 96th Street Chiropractic, LLC is 1710124631. It was assigned to this organization in the NPPES registry on January 14, 2009.
Where is 96th Street Chiropractic, LLC located?
96th Street Chiropractic, LLC is located at 9598 Allisonville Road, Indianapolis, IN 46250. The listed phone number is (317) 598-9696.
What is 96th Street Chiropractic, LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is 96th Street Chiropractic, LLC enrolled in Medicare?
Yes. 96th Street Chiropractic, LLC is registered in the Medicare PECOS enrollment system.
When is 96th Street Chiropractic, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through 96th Street Chiropractic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to 96th Street Chiropractic, 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 96th Street Chiropractic, LLC was last updated on April 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# 96th Street Chiropractic, Llc · NPI 1710124631
Chiropractor organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since January 14, 2009.
## Identity
- **NPI:** 1710124631 (Entity type: Organization)
- **Enumerated:** January 14, 2009
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Michael Flynn, CHIROPRACTOR/ OWNER
## Practice location
- **Address:** 9598 ALLISONVILLE ROAD, Indianapolis, IN 46250
- **Phone:** (317) 598-9696
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1710124631) · Data from the CMS NPPES public registry.