Active NPI
Charles William Lindquist, D.C., DACNB
- Neurology Chiropractor
- Greenville, OH
National Provider Identifier
1285664672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 970
- Practice address
- 607 S Broadway
Greenville, OH 45331-1929 - Phone
- (937) 548-7663
- Fax
- (937) 547-9175
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 970 | OH | Primary |
Addresses
Primary practice location
607 S Broadway
Greenville, OH 45331-1929
Mailing address
607 S Broadway St
Greenville, OH 45331-1929
Phone (937) 548-7663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341389381-00 | Other | OH | BUREAU OF WORKERS COMP |
| 0511708 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 970 | OH | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285664672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 S BROADWAY ST",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453311929",
"telephone_number": "937-548-7663",
"fax_number": "937-547-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 S BROADWAY",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453311929",
"telephone_number": "937-548-7663",
"fax_number": "937-547-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDQUIST",
"first_name": "CHARLES",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C., DACNB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "OH",
"license": "970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF WORKERS COMP",
"identifier": "341389381-00",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0511708",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.