Total Body Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TOTAL BODY CHIROPRACTIC CENTER, LLC

Practice address

415 E Kiracofe Ave
Elida, OH 45807-1031

Phone

(419) 227-2639

Fax

(419) 227-2640

NPI assigned

Sep 20, 2006

Last updated

Jan 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shad Alan Foster, D.C.NPI 1750493375

Title

Owner

Phone

(419) 238-6686

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Shad Alan Foster, D.C.

  • Chiropractor
  • Van Wert, OH
  • NPI 1750493375
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1174621841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10963 VAN WERT DECATUR RD",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458919211",
            "telephone_number": "419-238-6686",
            "fax_number": "419-238-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E KIRACOFE AVE",
            "city": "ELIDA",
            "state": "OH",
            "postal_code": "458071031",
            "telephone_number": "419-227-2639",
            "fax_number": "419-227-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "SHAD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-238-6686",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2813781",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casandra Schoder
• Stacy Lynn Shaw, CD (DONA)
• Mervin Shirk
• David S. Smelcer
• Andrea Stocker
• Total Body Chiropractic Center, LLC
• Lisha Tunning, OTR
• Brooke Williams, MOT, OTR/L
• Ava Lynette Wilson

• Chiropractor in Elida, OH
• Providers in Elida, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.