Organization Active NPI

Infield Chiropractic Office, Inc.

  • Chiropractor
  • Kingsville, OH
National Provider Identifier
1093997629
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
694 Issued in OH
Legal business name
INFIELD CHIROPRACTIC OFFICE, INC.
Practice address
6177 Lake Street
Kingsville, OH 44048
Phone
(440) 224-0680
Fax
(440) 224-2888
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Larry J Infield, D.C.NPI 1992835987
Title
President
Phone
(440) 224-0680

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 694 OH Primary

Addresses

Primary practice location

6177 Lake Street
Kingsville, OH 44048

Mailing address

PO Box 62
Kingsville, OH 44048-0062
Phone (440) 224-0680

Other identifiers 4

IdentifierTypeStateIssuer
000000130893OtherANTHEM BLUE CROSS AND BLUE SHIELD
0346281MedicaidOH
44-00148OtherUNITED HEALTHCARE
868244OtherAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080610000137 OH Part B Supplier - Clinic/Group Practice 3678643194 Receives reassigned benefits from 5 practitioners
Practice locations: Euclid, OH; Kingsville, OH

National Provider Directory

National Provider Directory

Locations

6177 Lake St
Kingsville, OH 44048
Phone (440) 224-0680

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": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1093997629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "KINGSVILLE",
            "state": "OH",
            "postal_code": "440480062",
            "telephone_number": "440-224-0680",
            "fax_number": "440-224-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6177 LAKE STREET",
            "city": "KINGSVILLE",
            "state": "OH",
            "postal_code": "44048",
            "telephone_number": "440-224-0680",
            "fax_number": "440-224-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFIELD CHIROPRACTIC OFFICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "INFIELD",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-224-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD",
            "identifier": "000000130893",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0346281",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "44-00148",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "868244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.