Organization Active NPI

Canal Fulton Chiropractic, LLC

  • Chiropractor
  • Canal Fulton, OH
National Provider Identifier
1184048621
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4207 Issued in OH
Legal business name
CANAL FULTON CHIROPRACTIC, LLC
Practice address
2186 Locust St S
Canal Fulton, OH 44614-9468
Phone
(330) 408-7550
Fax
(330) 408-7560
NPI assigned
Feb 4, 2014
Last updated
Feb 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Dr. Nicholas A Shifflet, DC
Title
Doctor of Chiropractic
Phone
(330) 408-7550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4207 OH Primary

Addresses

Primary practice location

2186 Locust St S
Canal Fulton, OH 44614-9468

Mailing address

2186 Locust St S
Canal Fulton, OH 44614-9468
Phone (330) 408-7550

National Provider Directory

National Provider Directory

Locations

2186 Locust St S
Canal Fulton, OH 44614
Phone (330) 408-7550

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1184048621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 LOCUST ST S",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446149468",
            "telephone_number": "330-408-7550",
            "fax_number": "330-408-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 LOCUST ST S",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446149468",
            "telephone_number": "330-408-7550",
            "fax_number": "330-408-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANAL FULTON CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "SHIFFLET",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "330-408-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Fulton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.