Organization Active NPI

Coveny Chiropractic Center, LLC

  • Chiropractor
  • Holmesville, OH
National Provider Identifier
1265621122
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3055 Issued in OH
Legal business name
COVENY CHIROPRACTIC CENTER, LLC
Practice address
105 South Taylor Street
Holmesville, OH 44633
Phone
(330) 279-2225
Fax
(330) 279-2220
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Dr. Rachel Marie Coveny, D.C.NPI 1871526673
Title
Owner
Phone
(330) 279-2225

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 3055 OH Primary

Addresses

Primary practice location

105 South Taylor Street
Holmesville, OH 44633

Mailing address

105 South Taylor Street
Holmesville, OH 44633
Phone (330) 279-2225

Other identifiers 1

IdentifierTypeStateIssuer
2535171MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050106000091 OH Part B Supplier - Clinic/Group Practice 4789632746 Receives reassigned benefits from 1 practitioner
Practice locations: Holmesville, OH

National Provider Directory

National Provider Directory

Locations

3431 Commerce Pkwy
Ste C
Wooster, OH 44691
Phone (330) 345-1330

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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1265621122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOUTH TAYLOR STREET",
            "city": "HOLMESVILLE",
            "state": "OH",
            "postal_code": "44633",
            "telephone_number": "330-279-2225",
            "fax_number": "330-279-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOUTH TAYLOR STREET",
            "city": "HOLMESVILLE",
            "state": "OH",
            "postal_code": "44633",
            "telephone_number": "330-279-2225",
            "fax_number": "330-279-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENY CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "COVENY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-279-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2535171",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.