Powell Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

POWELL CHIROPRACTIC CLINIC INC

Practice address

4867 Munson St NW
Canton, OH 44718

Phone

(330) 494-5533

Fax

(330) 494-8101

NPI assigned

Nov 22, 2006

Last updated

Jul 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda L Deeser, AO

Title

Authorized Official- Office Manager

Phone

(330) 494-5533

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter B Null, DC

  • Chiropractor
  • Canton, OH
  • NPI 1316017429
  Medicare reassignment Care Compare group
• James D Powell, DC

  • Chiropractor
  • Canton, OH
  • NPI 1174693360
  Medicare reassignment Care Compare group
• Abbey Crouse, D.C.

  • Chiropractor
  • Canton, OH
  • NPI 1356686497
  Medicare reassignment
• Steven Edward Henderson, DC

  • Chiropractor
  • Hilliard, OH
  • NPI 1215004734
  Medicare reassignment
• James Thomas Marino II, DC

  • Chiropractor
  • Newark, OH
  • NPI 1487164349
  NPD (past)
• James P Powell, DC

  • Chiropractor
  • Canton, OH
  • NPI 1063572931
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1275608531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-494-5533",
            "fax_number": "330-494-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-494-5533",
            "fax_number": "330-494-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-07-09",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "DEESER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL- OFFICE MANAGER",
        "authorized_official_telephone_number": "330-494-5533",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2525628",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186025",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DH0008",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha J Posey, MED,PCC
• Lakshmi Narayana Potakamuri, M.D.
• Marta Potts, M.D.
• Thomas B Poulton, MD
• Christine A Povroznik, BA, LSW
• Angelo Von Powell Jr.
• James D Powell, DC
• James P Powell, DC
• Carolyn Ann Powers, PC
• Grace Powers

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.