Fairfield Spine Center,LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

OH940 Issued in OH

Legal business name

FAIRFIELD SPINE CENTER,LLC

Practice address

1600 Sheridan Dr
Lancaster, OH 43130-1305

Phone

(740) 687-5002

Fax

(740) 687-5003

NPI assigned

Nov 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James R Grilliot, D.C.

Title

Partner

Phone

(740) 687-5002

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083793830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SHERIDAN DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301305",
            "telephone_number": "740-687-5002",
            "fax_number": "740-687-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SHERIDAN DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301305",
            "telephone_number": "740-687-5002",
            "fax_number": "740-687-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD SPINE CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRILLIOT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "740-687-5002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "OH940",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "OH1555",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OH0114683",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OH0716498",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairfield Kidney Center LLC
• Fairfield Medical Associates, LLC (Fairfield Medical Associates)
• Fairfield Medical Center
• Fairfield Neurology Inc
• Fairfield Spine and Rehab Center LLC
• Fairfield Union Local Schools
• Fairhope Hospice & Palliative Care Inc
• Fairhope Hospice & Palliative Care Inc
• Faith Based Counseling
• Patricia Faloon

• Chiropractor in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.