Organization Active NPI

Advanced Spinal Health & Wellness, LLC

  • Chiropractor
  • Marysville, OH
National Provider Identifier
1063683514
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3854 Issued in OH
Legal business name
ADVANCED SPINAL HEALTH & WELLNESS, LLC
Practice address
1050 Columbus Ave
Marysville, OH 43040-8337
Phone
(937) 645-0156
Fax
(937) 645-0158
NPI assigned
Mar 12, 2008
Last updated
Aug 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Mrs. Katie Marie Benson, D.C.NPI 1043490766
Title
Chiropractor
Phone
(937) 645-0156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3854 OH Primary

Addresses

Primary practice location

1050 Columbus Ave
Marysville, OH 43040-8337

Mailing address

1050 Columbus Ave
Marysville, OH 43040-8337
Phone (937) 645-0156

National Provider Directory

National Provider Directory

Locations

1050 Columbus Ave
Marysville, OH 43040
Phone (937) 645-0156

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": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1063683514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 COLUMBUS AVE",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408337",
            "telephone_number": "937-645-0156",
            "fax_number": "937-645-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 COLUMBUS AVE",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408337",
            "telephone_number": "937-645-0156",
            "fax_number": "937-645-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINAL HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "937-645-0156",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.