Organization Active NPI

Champion Chiropractic LLC

  • Chiropractor
  • Sylvania, OH
National Provider Identifier
1093978736
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3855 Issued in OH
Legal business name
CHAMPION CHIROPRACTIC LLC
Practice address
7135 Sylvania Ave
BLDG 1-B
Sylvania, OH 43560-5510
Phone
(419) 841-3273
NPI assigned
Jul 2, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Jennifer Marie Haines, DC
Title
Owner
Phone
(412) 779-6745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3855 OH Primary

Addresses

Primary practice location

7135 Sylvania Ave
BLDG 1-B
Sylvania, OH 43560-5510

Mailing address

2300 Fawn Hollow Rd
Toledo, OH 43617-1859

National Provider Directory

National Provider Directory

Locations

7135 Sylvania Ave
Ste 1B
Sylvania, OH 43560
Phone (419) 841-3273

Practitioners & affiliated clinicians

Practitioners 2

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": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1093978736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 FAWN HOLLOW RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 SYLVANIA AVE",
            "address_2": "BLDG 1-B",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435605510",
            "telephone_number": "419-841-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-779-6745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.