Organization Active NPI

Health Academy Chiropractic, LLC

  • Chiropractor
  • Montgomery, OH
National Provider Identifier
1205389467
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3686 Issued in OH
Legal business name
HEALTH ACADEMY CHIROPRACTIC, LLC
Practice address
9797 Montgomery Rd
Suite a
Montgomery, OH 45242-7247
Phone
(513) 984-0100
Fax
(513) 283-8989
NPI assigned
Jul 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Dr. Kelly Marie Greer, DCNPI 1285666107
Title
Chiropractor/Owner
Phone
(513) 984-0100

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 3686 OH Primary

Addresses

Primary practice location

9797 Montgomery Rd
Suite a
Montgomery, OH 45242-7247

Mailing address

9797 Montgomery Rd Ste a
Suite a
Montgomery, OH 45242-7240
Phone (513) 984-0100

Other identifiers 1

IdentifierTypeStateIssuer
0182649MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161031001049 OH Part B Supplier - Clinic/Group Practice 8527346253 Receives reassigned benefits from 1 practitioner
Practice locations: Montgomery, OH

National Provider Directory

National Provider Directory

Locations

9797 Montgomery Rd
Ste A
Montgomery, OH 45242
Phone (513) 984-0100

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": "1469318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1205389467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9797 MONTGOMERY RD STE A",
            "address_2": "SUITE A",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427240",
            "telephone_number": "513-984-0100",
            "fax_number": "513-283-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9797 MONTGOMERY RD",
            "address_2": "SUITE A",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427247",
            "telephone_number": "513-984-0100",
            "fax_number": "513-283-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ACADEMY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-24",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "513-984-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0182649",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.