Organization Active NPI

Pickerington Chiropractic Center

  • Chiropractor
  • Pickerington, OH
National Provider Identifier
1134318033
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1557 Issued in OH
Legal business name
PICKERINGTON CHIROPRACTIC CENTER
Practice address
705 Hill Rd N
Pickerington, OH 43147-8592
Phone
(614) 837-6227
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
James Andrew Ellis, DCNPI 1336295278
Title
Owner
Phone
(614) 837-6227

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 1557 OH Primary

Addresses

Primary practice location

705 Hill Rd N
Pickerington, OH 43147-8592

Mailing address

705 Hill Rd N
Pickerington, OH 43147-8592
Phone (614) 837-6227

Other identifiers 3

IdentifierTypeStateIssuer
000000119486OtherOHBCBS
9318481OtherOHMEDICARE GROUP
0666742OtherOHMEDICARE

National Provider Directory

National Provider Directory

Locations

705 Hill Rd N
Pickerington, OH 43147
Phone (614) 837-6227

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1134318033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478592",
            "telephone_number": "614-837-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478592",
            "telephone_number": "614-837-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKERINGTON CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-837-6227",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000119486",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9318481",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0666742",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.