Organization Active NPI

North Coast Family Chiropractic LLC

  • Chiropractor
  • Port Clinton, OH
National Provider Identifier
1144408188
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3604 Issued in OH
Legal business name
NORTH COAST FAMILY CHIROPRACTIC LLC
Practice address
2158 E State Rd
Port Clinton, OH 43452-2527
Phone
(419) 732-6600
Fax
(419) 732-6601
NPI assigned
Feb 1, 2008
Last updated
Feb 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Matthew Horn, D.C.NPI 1922147842
Title
Owner
Phone
(419) 732-6600

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
Chiropractor 111N00000X 3604 OH Primary

Addresses

Primary practice location

2158 E State Rd
Port Clinton, OH 43452-2527

Mailing address

2158 E State Rd
Port Clinton, OH 43452-2527
Phone (419) 732-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080214000239 OH Part B Supplier - Clinic/Group Practice 6507898996 Receives reassigned benefits from 1 practitioner
Practice locations: Port Clinton, OH

National Provider Directory

National Provider Directory

Locations

2158 E State Rd
Port Clinton, OH 43452
Phone (419) 732-6600

Practitioners & affiliated clinicians

Practitioners 1

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": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1144408188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 E STATE RD",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522527",
            "telephone_number": "419-732-6600",
            "fax_number": "419-732-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 E STATE RD",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522527",
            "telephone_number": "419-732-6600",
            "fax_number": "419-732-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-732-6600",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Clinton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.