NPIMap

Organization Active NPI

Fallen Timbers Chiropractic, LLC

  • Sports Physician Chiropractor
  • Whitehouse, OH
National Provider Identifier
1043372485
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1510 Issued in OH
Legal business name
FALLEN TIMBERS CHIROPRACTIC, LLC
Practice address
6901 Providence St
Whitehouse, OH 43571-9273
Phone
(419) 877-9919
Fax
(419) 877-9977
NPI assigned
Dec 14, 2006
Last updated
Apr 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Dr. Wayne F. Koskinen, DC
Title
Owner
Phone
(419) 877-9919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 1510 OH Primary

Addresses

Primary practice location

6901 Providence St
Whitehouse, OH 43571-9273

Mailing address

6901 Providence St
Whitehouse, OH 43571-9273
Phone (419) 877-9919

National Provider Directory

National Provider Directory

Locations

6901 Providence St
Whitehouse, OH 43571
Phone (419) 877-9919

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1043372485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 PROVIDENCE ST",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719273",
            "telephone_number": "419-877-9919",
            "fax_number": "419-877-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 PROVIDENCE ST",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719273",
            "telephone_number": "419-877-9919",
            "fax_number": "419-877-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLEN TIMBERS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "KOSKINEN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-877-9919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "1510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehouse, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.