NPIMap

Organization Active NPI

Painesville Family Chiropractic Inc.

  • Nutrition Chiropractor
  • Painesville, OH
National Provider Identifier
1205029808
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
2653 Issued in OH
Legal business name
PAINESVILLE FAMILY CHIROPRACTIC INC.
Doing business as
Painesville Family Chiropractic Inc.
Practice address
1640 Mentor Ave
Painesville, OH 44077-1707
Phone
(440) 639-9171
Fax
(440) 639-9071
NPI assigned
Aug 27, 2007
Last updated
Sep 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Dr. Brian J. Morris, D.C.NPI 1598799371
Title
Doctor of Chiropractic
Phone
(440) 639-9171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 2653 OH Primary

Addresses

Primary practice location

1640 Mentor Ave
Painesville, OH 44077-1707

Mailing address

1640 Mentor Ave
Painesville, OH 44077-1707
Phone (440) 639-9171

Other names 1

  • Painesville Family Chiropractic Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1545 Mentor Ave
Painesville, OH 44077
Phone (440) 639-9171

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1205029808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771707",
            "telephone_number": "440-639-9171",
            "fax_number": "440-639-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771707",
            "telephone_number": "440-639-9171",
            "fax_number": "440-639-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINESVILLE FAMILY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "440-639-9171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "OH",
            "license": "2653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Painesville Family Chiropractic Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.