Pinnacle Chiropractic Care, LLC
Organization Active NPI Chiropractor · Ontario, OH
NPI 1154788198 · NPPES record last updated Jan 21, 2016
Key facts
- NPI
- 1154788198
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3618 (OH)
- Legal business name
- PINNACLE CHIROPRACTIC CARE, LLC
- Practice address
- 2031 Park Ave W
Ontario, OH 44906-2234 - Phone
- (419) 529-2055
- NPI assigned
- Jan 21, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Amanda Stevenson, D.C.
- Title
- Owner
- Phone
- (614) 832-8862
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3618 | OH | Yes |
Addresses
Primary practice location
2031 Park Ave W
Ontario, OH 44906-2234
Mailing address
2031 Park Ave W
Ontario, OH 44906-2234
Phone (419) 529-2055
NPI Registry JSON
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453334400000",
"number": "1154788198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 PARK AVE W",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449062234",
"telephone_number": "419-529-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 PARK AVE W",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449062234",
"telephone_number": "419-529-2055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE CHIROPRACTIC CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-21",
"last_updated": "2016-01-21",
"status": "A",
"authorized_official_last_name": "STEVENSON",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-832-8862",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OH",
"license": "3618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.