Hudson Chiropractic, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

4367 Issued in OH

Legal business name

HUDSON CHIROPRACTIC, LLC

Practice address

46 Ravenna St
Suite a - 4
Hudson, OH 44236-3033

Phone

(330) 650-0322

Fax

(330) 650-0327

NPI assigned

Sep 18, 2014

Last updated

Sep 18, 2014By 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. Robert S Graves, D.C.,C.C.S.P.NPI 1992837512

Title

Owner

Phone

(330) 650-0322

Specialties & licenses 2

Addresses

Locations

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.

• Robert S Graves, D.C.,C.C.S.P.

  • Sports Physician Chiropractor
  • Hudson, OH
  • NPI 1992837512
  Authorized official Same address or phone

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1093117236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 RAVENNA ST",
            "address_2": "SUITE A - 4",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442363033",
            "telephone_number": "330-650-0322",
            "fax_number": "330-650-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 RAVENNA ST",
            "address_2": "SUITE A - 4",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442363033",
            "telephone_number": "330-650-0322",
            "fax_number": "330-650-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-650-0322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.,C.C.S.P."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "4367",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OH",
            "license": "4367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Arden Hoover, DDS
• Patricia M Hord, M.D.
• David Louis Hornick, MD
• Sydney Hotz, ATC, LAT, NREMT
• Autumn Howard, RD
• Hudson City School District
• Hudson Elms
• Hudson Elms Opco, LLC
• Hudson Elms Opco, LLC
• Hudson Family Health Center, Inc.

• Sports Physician Chiropractor in Hudson, OH
• Providers in Hudson, OH by specialty
• Sports Physician Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.