Organization Active NPI

Harville Chiropractic Center, Inc.

  • Chiropractor
  • Powell, OH
National Provider Identifier
1003252560
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2244 Issued in OH
Legal business name
HARVILLE CHIROPRACTIC CENTER, INC.
Practice address
3967 Presidential Pkwy
Suite B
Powell, OH 43065-7268
Phone
(614) 791-0663
Fax
(614) 791-8199
NPI assigned
May 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mitchell Blake Harville, D.C.NPI 1134231434
Title
President
Phone
(614) 791-0663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2244 OH Primary

Addresses

Primary practice location

3967 Presidential Pkwy
Suite B
Powell, OH 43065-7268

Mailing address

3967 Presidential Pkwy
Suite B
Powell, OH 43065-7268
Phone (614) 791-0663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131226000327 OH Part B Supplier - Clinic/Group Practice 0648407486 Receives reassigned benefits from 1 practitioner
Practice locations: Powell, OH

National Provider Directory

National Provider Directory

Locations

3967 Presidential Pkwy
Ste B
Powell, OH 43065
Phone (614) 791-0663

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1003252560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3967 PRESIDENTIAL PKWY",
            "address_2": "SUITE B",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657268",
            "telephone_number": "614-791-0663",
            "fax_number": "614-791-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3967 PRESIDENTIAL PKWY",
            "address_2": "SUITE B",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657268",
            "telephone_number": "614-791-0663",
            "fax_number": "614-791-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVILLE CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "HARVILLE",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-791-0663",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.