Lancaster Chiropractic Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1066 Issued in OH

Legal business name

LANCASTER CHIROPRACTIC CLINIC, INC.

Practice address

616 N Columbus St
Lancaster, OH 43130-2535

Phone

(740) 653-2973

Fax

(740) 653-3249

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerrold J. Simon, D.C.NPI 1548219892

Title

President

Phone

(740) 653-2973

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Jerrold J. Simon, D.C.

  • Rehabilitation Chiropractor
  • Lancaster, OH
  • NPI 1548219892

  Nutrition

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1235325267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N COLUMBUS ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302535",
            "telephone_number": "740-653-2973",
            "fax_number": "740-653-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N COLUMBUS ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302535",
            "telephone_number": "740-653-2973",
            "fax_number": "740-653-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-653-2973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1066",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "OH",
            "license": "1066",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "1066",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0582758",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America Holdings
• Inah Nicole Leosala Lagason
• Nancy J Lambert, LPCC
• Alison Lamp, PRS
• Jaclyn R Lamphier, LICENSED MASSAGE THE
• Lancaster City Schools
• Lancaster Dental Partners Canfield Latus Merchant Vallo LLP
• Lancaster Dental Partners LLP
• Lancaster Durable Medical Equipment
• Lancaster Family Dental LLC

• Chiropractor in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.