Organization Active NPI

Robert L. Stevens D.C. Inc.

  • Chiropractor
  • Cadiz, OH
National Provider Identifier
1285174151
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROBERT L. STEVENS D.C. INC.
Practice address
109 E Market St
Cadiz, OH 43907-1213
Phone
(740) 942-2290
Fax
(740) 942-2290
NPI assigned
Feb 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Amy McDonnell
Title
Manager
Phone
(630) 200-6494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

109 E Market St
Cadiz, OH 43907-1213

Mailing address

28803 Dahlia Dr NW
Isanti, MN 55040-6331
Phone (630) 200-6494

Other identifiers 2

IdentifierTypeStateIssuer
026383MedicaidOH
565OtherOHHEALTH PLAN PROVIDER #

Other names 1

  • Cadiz Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

109 E Market St
Cadiz, OH 43907
Phone (740) 942-2290

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1285174151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28803 DAHLIA DR NW",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550406331",
            "telephone_number": "630-200-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E MARKET ST",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439071213",
            "telephone_number": "740-942-2290",
            "fax_number": "740-942-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. STEVENS D.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-200-6494"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026383",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN PROVIDER #",
            "identifier": "565",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cadiz Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cadiz, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.