Active NPI
Waterville Chiropractic Clinic LLC
- Thermography Chiropractor
- Waterville, OH
National Provider Identifier
1194057885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thermography Chiropractor
- License
- 1201
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Thermography Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0632855 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.