Organization Active NPI

Stroup Chiropractic Clinic, Inc.

  • Chiropractor
  • Shelby, OH
National Provider Identifier
1174868657
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2337 Issued in OH
Legal business name
STROUP CHIROPRACTIC CLINIC, INC.
Practice address
110 W Smiley Ave
Shelby, OH 44875-2130
Phone
(419) 342-6000
Fax
(419) 342-6002
NPI assigned
Dec 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Dr. Daniel L. Stroup, D.C.NPI 1588795918
Title
Owner
Phone
(419) 342-6000

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2337 OH Primary

Addresses

Primary practice location

110 W Smiley Ave
Shelby, OH 44875-2130

Mailing address

110 W Smiley Ave
Shelby, OH 44875-2130
Phone (419) 342-6000

Other identifiers 1

IdentifierTypeStateIssuer
2765502MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130204000437 OH Part B Supplier - Clinic/Group Practice 8325292071 Receives reassigned benefits from 1 practitioner
Practice locations: Shelby, OH

National Provider Directory

National Provider Directory

Locations

110 W Smiley Ave
Shelby, OH 44875
Phone (419) 342-2812

110 W Smiley Ave
Ste 3
Shelby, OH 44875
Phone (419) 342-6000

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": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1174868657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SMILEY AVE",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448752130",
            "telephone_number": "419-342-6000",
            "fax_number": "419-342-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SMILEY AVE",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448752130",
            "telephone_number": "419-342-6000",
            "fax_number": "419-342-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROUP CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "STROUP",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-342-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2765502",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.