Active NPI
One Healthcare Center, Inc.
- Chiropractor
- Yellow Springs, OH
National Provider Identifier
1184776957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2168
- Legal business name
- ONE HEALTHCARE CENTER, INC.
- Practice address
- 100 Corry St
Yellow Springs, OH 45387-1809 - Phone
- (937) 767-2733
- Fax
- (937) 767-2736
- NPI assigned
- Jan 18, 2007
- 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. Brenda J. Borst, D.C.
- Title
- President
- Phone
- (937) 767-2733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2168 | OH | Primary |
Addresses
Primary practice location
100 Corry St
Yellow Springs, OH 45387-1809
Mailing address
PO Box 470
100 Corry St.
Yellow Springs, OH 45387-0470
Phone (937) 767-2733
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2055716 | Medicaid | OH | |
| 280509362-00 | Other | OH | WORKERS COMP |
| 000000211047 | Other | OH | ANTHEM BLUE CROSS&BLUE SH |
| BO0842481 | Other | OH | MEDICARE INDIVIDUAL PIN |
Other names 1
- Borst Chiropractic, Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194825600000",
"number": "1184776957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 470",
"address_2": "100 CORRY ST.",
"city": "YELLOW SPRINGS",
"state": "OH",
"postal_code": "453870470",
"telephone_number": "937-767-2733",
"fax_number": "937-767-2736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CORRY ST",
"city": "YELLOW SPRINGS",
"state": "OH",
"postal_code": "453871809",
"telephone_number": "937-767-2733",
"fax_number": "937-767-2736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE HEALTHCARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2007-11-12",
"status": "A",
"authorized_official_last_name": "BORST",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-767-2733",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OH",
"license": "2168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2055716",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "280509362-00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS&BLUE SH",
"identifier": "000000211047",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PIN",
"identifier": "BO0842481",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Borst Chiropractic, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yellow Springs, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.