Active NPI
Timothy P Novelli, D.C.
- Chiropractor
- North Canton, OH
National Provider Identifier
1104928415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1154
- Practice address
- 525 N Main St
North Canton, OH 44720-2566 - Phone
- (330) 497-1942
- Fax
- (330) 497-0619
- NPI assigned
- Sep 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1154 | OH | Primary |
Addresses
Primary practice location
525 N Main St
North Canton, OH 44720-2566
Mailing address
525 N Main St
North Canton, OH 44720-2566
Phone (330) 497-1942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
525 N Main St
North Canton, OH 44720-2566
Phone (330) 497-1942
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1154 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novelli Chiropractic Clinic, Inc. | Chiropractor | Current | Accepting new patients |
| Brechbill Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
525 N Main St
North Canton, OH 44720
Phone (330) 497-1942
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- North Canton, OH
- NPI 1164699831
-
- Chiropractor
- North Canton, OH
- NPI 1356639405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104928415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 N MAIN ST",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447202566",
"telephone_number": "330-497-1942",
"fax_number": "330-497-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N MAIN ST",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447202566",
"telephone_number": "330-497-1942",
"fax_number": "330-497-0619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVELLI",
"first_name": "TIMOTHY",
"middle_name": "P",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Canton, OH
- Northland Hearing Centers, Inc (All American Hearing)
- Northland Hearing Centers, Inc. (Ascent Audiology & Hearing)
- Shauna M Norviel, PTA
- Novacare Rehabilitation of Ohio, Inc. (NovaCare Rehabilitation)
- Novelli Chiropractic Clinic, Inc.
- Amanda C Nubert, SLP
- Monica Joy Nussbaum, CNA
- Christine A Nutt
- Ifeatu Natasha Nwobu, NP
- Brooke E Nyers, LPTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.