Organization Active NPI

Maineville Family Chiropractic Center, Inc.

  • Chiropractor
  • Maineville, OH
National Provider Identifier
1215105283
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2919 Issued in OH
Legal business name
MAINEVILLE FAMILY CHIROPRACTIC CENTER, INC.
Practice address
42 Grandin Rd
Maineville, OH 45039-9677
Phone
(513) 677-7463
Fax
(513) 677-8171
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Dr. Duane E Titus, DC
Title
President
Phone
(513) 677-7463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2919 OH Primary

Addresses

Primary practice location

42 Grandin Rd
Maineville, OH 45039-9677

Mailing address

42 Grandin Rd
Maineville, OH 45039-9677
Phone (513) 677-7463

Other identifiers 1

IdentifierTypeStateIssuer
2214133MedicaidOH

National Provider Directory

National Provider Directory

Locations

42 Grandin Rd
Maineville, OH 45039
Phone (513) 677-7463

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": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1215105283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 GRANDIN RD",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450399677",
            "telephone_number": "513-677-7463",
            "fax_number": "513-677-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 GRANDIN RD",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450399677",
            "telephone_number": "513-677-7463",
            "fax_number": "513-677-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEVILLE FAMILY CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-677-7463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2214133",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maineville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.