Organization Active NPI

Chaffee Family Chiro Inc

Doing business as 39 Chiropractic & Rehabilitation

  • Chiropractor
  • Millersburg, OH
National Provider Identifier
1063780294
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1970 Issued in OH
Legal business name
CHAFFEE FAMILY CHIRO INC
Doing business as
39 Chiropractic & Rehabilitation
Practice address
5555 County Road 203
Millersburg, OH 44654-8291
Phone
(330) 893-4440
Fax
(330) 893-9335
NPI assigned
Dec 2, 2011
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHAFFEE CHIROPRACTIC CLINIC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Jeremy Scott Flanders, DCNPI 1477714038
Title
Owner/President
Phone
(850) 866-7730

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
Chiropractor 111N00000X 1970 OH Primary

Addresses

Primary practice location

5555 County Road 203
Millersburg, OH 44654-8291

Mailing address

5555 County Road 203
Millersburg, OH 44654-8291
Phone (330) 893-4440

Other practice location 1

118 S Mill St
Fredericksburg, OH 44627-9232
Phone (330) 893-0444

Other names 1

  • 39 Chiropractic & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120417000787 OH Part B Supplier - Clinic/Group Practice 6507027612 Receives reassigned benefits from 2 practitioners
Practice locations: Millersburg, OH; Fredericksburg, OH

National Provider Directory

National Provider Directory
Part of
Chaffee Chiropractic Clinic

Locations

118 S Mill St
Fredericksburg, OH 44627
Phone (330) 893-0444

5336 County Road 201
Ste C
Millersburg, OH 44654

5555 County Road 203
Millersburg, OH 44654
Phone (330) 893-0444

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1063780294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 COUNTY ROAD 203",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548291",
            "telephone_number": "330-893-4440",
            "fax_number": "330-893-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 COUNTY ROAD 203",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548291",
            "telephone_number": "330-893-4440",
            "fax_number": "330-893-9335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 S Mill St",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "OH",
            "postal_code": "446279232",
            "country_code": "US",
            "telephone_number": "330-893-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHAFFEE FAMILY CHIRO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAFFEE CHIROPRACTIC CLINIC INC",
        "enumeration_date": "2011-12-02",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "FLANDERS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "850-866-7730",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "39 Chiropractic & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.