Organization Active NPI

Carnation Chiropractic Ctr. Inc

  • Sports Physician Chiropractor
  • Alliance, OH
National Provider Identifier
1174656086
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
CARNATION CHIROPRACTIC CTR. INC
Practice address
2301 W State St
Alliance, OH 44601-3530
Phone
(330) 821-1777
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Mr. Nick P Simionides, D.C.,C.C.S.P.NPI 1922043298
Title
Owner
Phone
(330) 821-1777

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X OH Primary

Addresses

Primary practice location

2301 W State St
Alliance, OH 44601-3530

Mailing address

2301 W State St
Alliance, OH 44601-3530
Phone (330) 821-1777

Other identifiers 1

IdentifierTypeStateIssuer
0643352MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171129002588 OH Part B Supplier - Clinic/Group Practice 3173880176 Receives reassigned benefits from 1 practitioner
Practice locations: Alliance, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1174656086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013530",
            "telephone_number": "330-821-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013530",
            "telephone_number": "330-821-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNATION CHIROPRACTIC CTR. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "SIMIONIDES",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-821-1777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C.,C.C.S.P."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0643352",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.