Midwest Chiropractic Center LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

1454 Issued in OH

Legal business name

MIDWEST CHIROPRACTIC CENTER LLC

Practice address

6104 Huntley Rd
Columbus, OH 43229-1004

Phone

(614) 847-9667

Fax

(614) 847-9688

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter J Manz, D.C.NPI 1003818352

Title

Manager

Phone

(614) 847-9667

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

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

• Peter J. Manz, D.C.

  • Chiropractor
  • Columbus, OH
  • NPI 1003818352
  Medicare reassignment Authorized official
• Mary M. Bruney, D.C.

  • Chiropractor
  • Columbus, OH
  • NPI 1093742843
  NPD
• Alisha Lais Booher, D.C.

  • Chiropractor
  • Columbus, OH
  • NPI 1063472587
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1053533513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 HUNTLEY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291004",
            "telephone_number": "614-847-9667",
            "fax_number": "614-847-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 HUNTLEY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291004",
            "telephone_number": "614-847-9667",
            "fax_number": "614-847-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "MANZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "614-847-9667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "1454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC PROVIDER NUMBER",
            "identifier": "311274667-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Midwest Allergy Associates, Inc.
• Midwest Care Services LLC
• Midwest Eye Consultants Ohio, Inc (Ohio Eye Physicians and Surgeons)
• Midwest Health Care Services LLC
• Midwest Home Care LLC
• Midwest Home Care Services, LLC
• Midwest Home Healthcare

• Rehabilitation Chiropractor in Columbus, OH
• Providers in Columbus, OH by specialty
• Rehabilitation Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.