Organization Active NPI

Northern Ohio Chiropractic, LLC

  • Chiropractor
  • Avon Lake, OH
National Provider Identifier
1194964833
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2383 Issued in OH
Legal business name
NORTHERN OHIO CHIROPRACTIC, LLC
Practice address
515 Moore Rd Ste 4
Avon Lake, OH 44012-2366
Phone
(440) 930-2338
NPI assigned
Feb 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Dr. Thomas J. Przybysz, D.C.NPI 1992829576
Title
Owner
Phone
(440) 930-2338

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2383 OH Primary

Addresses

Primary practice location

515 Moore Rd Ste 4
Avon Lake, OH 44012-2366

Mailing address

515 Moore Rd Ste 4
Avon Lake, OH 44012-2366
Phone (440) 930-2338

Other identifiers 1

IdentifierTypeStateIssuer
2020762MedicaidOH

National Provider Directory

National Provider Directory

Locations

515 Moore Rd
Ste 4
Avon Lake, OH 44012
Phone (440) 930-2338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1194964833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MOORE RD STE 4",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122366",
            "telephone_number": "440-930-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MOORE RD STE 4",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122366",
            "telephone_number": "440-930-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN OHIO CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "PRZYBYSZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-930-2338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020762",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Lake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.