NPIMap

Organization Active NPI

Dr Brian C Vetter Chiropractor PC

  • Chiropractor
  • Olmsted Falls, OH
National Provider Identifier
1265722185
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4131 Issued in OH
Legal business name
DR BRIAN C VETTER CHIROPRACTOR PC
Practice address
8137 Columbia Rd
Olmsted Falls, OH 44138-2023
Phone
(440) 427-1602
Fax
(440) 427-1598
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Dr. Brian Clancy Vetter, D.C.NPI 1689877227
Title
President
Phone
(440) 427-1602

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 4131 OH Primary

Addresses

Primary practice location

8137 Columbia Rd
Olmsted Falls, OH 44138-2023

Mailing address

8137 Columbia Rd
Olmsted Falls, OH 44138-2023
Phone (440) 427-1602

Other names 1

  • Olmsted Falls Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110413000722 OH Part B Supplier - Clinic/Group Practice 4486838505 Receives reassigned benefits from 1 practitioner
Practice locations: Olmsted Falls, OH

National Provider Directory

National Provider Directory

Locations

8137 Columbia Rd
Olmsted Falls, OH 44138
Phone (440) 427-1602

Practitioners & affiliated clinicians

Practitioners 2

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": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1265722185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8137 COLUMBIA RD",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441382023",
            "telephone_number": "440-427-1602",
            "fax_number": "440-427-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8137 COLUMBIA RD",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441382023",
            "telephone_number": "440-427-1602",
            "fax_number": "440-427-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRIAN C VETTER CHIROPRACTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CLANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-427-1602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olmsted Falls Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olmsted Falls, OH

Sources for this page

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