Theis Chiropractic Clinic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1826 Issued in OH

Legal business name

THEIS CHIROPRACTIC CLINIC, INC.

Practice address

6525 Market Ave N
Suite 101
Canton, OH 44721-2430

Phone

(330) 433-9000

Fax

(330) 433-9026

NPI assigned

Feb 7, 2008

Last updated

Feb 7, 2008By 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

Dr. Karl David Theis, D.C.NPI 1447243415

Title

Owner/Doctor

Phone

(330) 433-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Karl D. Theis, D.C.

  • Chiropractor
  • N Canton, OH
  • NPI 1447243415
  Authorized official Same address or phone
• Gregory R Busby, D.C.

  • Chiropractor
  • Uniontown, OH
  • NPI 1609200294
  NPD

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1285812602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 MARKET AVE N",
            "address_2": "SUITE 101",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212430",
            "telephone_number": "330-433-9000",
            "fax_number": "330-433-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 MARKET AVE N",
            "address_2": "SUITE 101",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212430",
            "telephone_number": "330-433-9000",
            "fax_number": "330-433-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEIS CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "330-433-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "1826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0854197",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Canton, OH
• Providers in Canton, OH by specialty
• Clinic/Center in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.