Organization Active NPI

ABA Family Chiropractic Holistic Health Center, LLC

  • Chiropractor
  • Toledo, OH
National Provider Identifier
1275715211
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1063 Issued in OH
Legal business name
ABA FAMILY CHIROPRACTIC HOLISTIC HEALTH CENTER, LLC
Practice address
2439 N Reynolds Rd
Toledo, OH 43615-2840
Phone
(419) 535-7818
NPI assigned
Dec 1, 2007
Last updated
Feb 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. Michael A Pickens, D.C.NPI 1528052693
Title
Owner
Phone
(419) 535-7818

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
Chiropractor 111N00000X 1063 OH Primary

Addresses

Primary practice location

2439 N Reynolds Rd
Toledo, OH 43615-2840

Mailing address

2439 N Reynolds Rd
Toledo, OH 43615-2840
Phone (419) 535-7818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080117000717 OH Part B Supplier - Clinic/Group Practice 8527149301 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

2439 N Reynolds Rd
Toledo, OH 43615
Phone (419) 535-7818

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1275715211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152840",
            "telephone_number": "419-535-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152840",
            "telephone_number": "419-535-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA FAMILY CHIROPRACTIC HOLISTIC HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-01",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-535-7818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.