NPIMap

Organization Active NPI

Ohio Sports Chiropractic

  • Chiropractor
  • Northfield, OH
National Provider Identifier
1295095651
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4178 Issued in OH
Legal business name
OHIO SPORTS CHIROPRACTIC
Practice address
148 E Aurora Rd
Northfield, OH 44067-2053
Phone
(330) 908-0203
Fax
(330) 908-0204
NPI assigned
May 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Authorized official

Name
Dr. Leo Charles Kormanik II, D.C.
Title
Owner/Chiropractor
Phone
(330) 908-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4178 OH Primary

Addresses

Primary practice location

148 E Aurora Rd
Northfield, OH 44067-2053

Mailing address

148 E Aurora Rd
Northfield, OH 44067-2053
Phone (330) 908-0203

National Provider Directory

National Provider Directory

Locations

148 E Aurora Rd
Northfield, OH 44067
Phone (330) 468-2555

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1295095651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 E AURORA RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672053",
            "telephone_number": "330-908-0203",
            "fax_number": "330-908-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E AURORA RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672053",
            "telephone_number": "330-908-0203",
            "fax_number": "330-908-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO SPORTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-20",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "KORMANIK",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "330-908-0203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.