Individual provider Active NPI

Ming Je Huang, D.C.

  • Chiropractor
  • Twinsburg, OH
National Provider Identifier
1295857332
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3017 Issued in OH
Practice address
2676 E Aurora Rd
Twinsburg, OH 44087-2150
Phone
(330) 425-2477
Fax
(330) 425-2417
NPI assigned
Apr 6, 2007
Last updated
Jan 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3017 OH Primary

Addresses

Primary practice location

2676 E Aurora Rd
Twinsburg, OH 44087-2150

Mailing address

2676 E Aurora Rd
Twinsburg, OH 44087-2150
Phone (330) 425-2477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614000880 OH Practitioner - Chiropractic 1759325616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Chiropractic Clinic LLCGroup PAC ID 7315981271, 2 clinicians

Practice addresses (Care Compare)

2676 E Aurora Rd
Twinsburg, OH 44087-2150
Phone (330) 425-2477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3017OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Chiropractic Clinic LLC Chiropractor CurrentSince Jan 10, 2005 Accepting new patients
Fedorko Chiropractic Health Ctr of Green Chiropractor Past Accepting new patients

Locations

2676 E Aurora Rd
Twinsburg, OH 44087
Phone (330) 425-2477

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1295857332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2676 E AURORA RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872150",
            "telephone_number": "330-425-2477",
            "fax_number": "330-425-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 E AURORA RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872150",
            "telephone_number": "330-425-2477",
            "fax_number": "330-425-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "MING",
        "middle_name": "JE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.