Organization Active NPI

Waterville Chiropractic Clinic LLC

  • Thermography Chiropractor
  • Waterville, OH
National Provider Identifier
1194057885
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thermography ChiropractorTaxonomy code 111NT0100X
License
1201 Issued in OH
Legal business name
WATERVILLE CHIROPRACTIC CLINIC LLC
Practice address
216 South St
Waterville, OH 43566-1463
Phone
(419) 878-8142
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. Jon W Schwanz, DC
Title
Manager
Phone
(419) 878-8142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thermography ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NT0100X 1201 OH Primary

Addresses

Primary practice location

216 South St
Waterville, OH 43566-1463

Mailing address

216 South St
Waterville, OH 43566-1463
Phone (419) 878-8142

Other identifiers 1

IdentifierTypeStateIssuer
0632855MedicaidOH

National Provider Directory

National Provider Directory

Locations

216 South St
Waterville, OH 43566
Phone (419) 878-8142

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1194057885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SOUTH ST",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435661463",
            "telephone_number": "419-878-8142",
            "fax_number": "419-878-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SOUTH ST",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435661463",
            "telephone_number": "419-878-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERVILLE CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "SCHWANZ",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "419-878-8142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NT0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Thermography",
            "state": "OH",
            "license": "1201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0632855",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.