Organization Active NPI

Modern Health Alternatives, Inc.

  • Chiropractor
  • Massillon, OH
National Provider Identifier
1154491389
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MODERN HEALTH ALTERNATIVES, INC.
Practice address
276 Federal Ave NW
Massillon, OH 44647-5469
Phone
(330) 833-2085
Fax
(330) 833-2067
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Douglas Myers, D.C.
Title
Owner
Phone
(330) 833-2085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

276 Federal Ave NW
Massillon, OH 44647-5469

Mailing address

276 Federal Ave NW
Massillon, OH 44647-5469
Phone (330) 833-2085

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041215000429 OH Part B Supplier - Clinic/Group Practice 8921065509 Receives reassigned benefits from 5 practitioners
Practice locations: Massillon, OH

National Provider Directory

National Provider Directory

Locations

276 Federal Ave NW
Massillon, OH 44647
Phone (330) 833-2085

Practitioners & affiliated clinicians

Practitioners 9

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1154491389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 FEDERAL AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446475469",
            "telephone_number": "330-833-2085",
            "fax_number": "330-833-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 FEDERAL AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446475469",
            "telephone_number": "330-833-2085",
            "fax_number": "330-833-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN HEALTH ALTERNATIVES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-833-2085",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.