NPIMap

Organization Active NPI

Sunbury Chiropractic Center Inc

Doing business as Sunbury Chiropractic Center

  • Chiropractor
  • Sunbury, OH
National Provider Identifier
1285791731
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
880 Issued in OH
Legal business name
SUNBURY CHIROPRACTIC CENTER INC
Doing business as
Sunbury Chiropractic Center
Practice address
123 State Route 3
Sunbury, OH 43074-6900
Phone
(740) 965-4301
Fax
(740) 965-5182
NPI assigned
Jan 3, 2007
Last updated
Jun 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Dr. Thomas William Erndt, D.C.NPI 1679561377
Title
Practice Owner
Phone
(740) 965-4301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 880 OH Primary

Addresses

Primary practice location

123 State Route 3
Sunbury, OH 43074-6900

Mailing address

123 State Route 3
Sunbury, OH 43074-6900
Phone (740) 965-4301

Other names 1

  • Sunbury Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050914001198 OH Part B Supplier - Clinic/Group Practice 7517990054 Receives reassigned benefits from 9 practitioners
Practice locations: Johnstown, OH; Sunbury, OH

National Provider Directory

National Provider Directory

Locations

123 State Route 3
#A
Sunbury, OH 43074
Phone (740) 965-4301

123 State Route 3
Ste A
Sunbury, OH 43074
Phone (740) 965-4301

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1285791731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 STATE ROUTE 3",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430746900",
            "telephone_number": "740-965-4301",
            "fax_number": "740-965-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 STATE ROUTE 3",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430746900",
            "telephone_number": "740-965-4301",
            "fax_number": "740-965-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBURY CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "ERNDT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "740-965-4301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunbury Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunbury, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.