Organization Active NPI

Professional Imaging Consultants Inc.

  • Radiology Chiropractor
  • Canton, OH
National Provider Identifier
1104975812
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
1501 Issued in OH
Legal business name
PROFESSIONAL IMAGING CONSULTANTS INC.
Practice address
5395 Governors Ave NW
Canton, OH 44718-1473
Phone
(330) 498-9445
Fax
(330) 498-9447
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Dr. Edward J Dailey, D.C, DACBR
Title
Owner
Phone
(330) 498-9445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0200X 1501 OH Primary

Addresses

Primary practice location

5395 Governors Ave NW
Canton, OH 44718-1473

Mailing address

PO Box 36952
Canton, OH 44735-6952
Phone (330) 498-9445

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1104975812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36952",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447356952",
            "telephone_number": "330-498-9445",
            "fax_number": "330-498-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 GOVERNORS AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181473",
            "telephone_number": "330-498-9445",
            "fax_number": "330-498-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL IMAGING CONSULTANTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-498-9445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C, DACBR"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "OH",
            "license": "1501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.