Active NPI
Stroup Chiropractic Clinic, Inc.
- Chiropractor
- Shelby, OH
National Provider Identifier
1174868657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2337
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2765502 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Shelby, OH
- NPI 1588795918
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.