Active NPI
Infield Chiropractic Office, Inc.
- Chiropractor
- Kingsville, OH
National Provider Identifier
1093997629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 694
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000130893 | Other | ANTHEM BLUE CROSS AND BLUE SHIELD | |
| 0346281 | Medicaid | OH | |
| 44-00148 | Other | UNITED HEALTHCARE | |
| 868244 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
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- Kingsville, OH
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- NPI 1164766044
-
- Chiropractor
- Kingsville, OH
- NPI 1942167671
-
- Chiropractor
- Euclid, OH
- NPI 1225994346
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.