Worthington Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3002 Issued in OH

Legal business name

WORTHINGTON CHIROPRACTIC, INC.

Practice address

55 Tahlequah TRL
Springboro, OH 45066-1154

Phone

(937) 704-0714

Fax

(937) 704-0715

NPI assigned

Oct 28, 2008

Last updated

Oct 28, 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. Todd Matthew Worthington, DC

Title

President

Phone

(937) 704-0714

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1306099916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TAHLEQUAH TRL",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450661154",
            "telephone_number": "937-704-0714",
            "fax_number": "937-704-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 TAHLEQUAH TRL",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450661154",
            "telephone_number": "937-704-0714",
            "fax_number": "937-704-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHINGTON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "WORTHINGTON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-704-0714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2228146",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawnta Jolan Wilson, RN
• Tracy Lynn Wilson, LPCC, LSW, LICDC
• Hannah Elizabeth Winkler, ARNP
• Hannah S Wireman, RA
• Sheila Ann Wolsefer, C.D.A.
• Wound Healing Specialists of Ohio
• Billie Sue Wright, DO
• Jody L Wright, D.D.S.
• Laura Wright
• Kenneth L. Wysong

• Chiropractor in Springboro, OH
• Providers in Springboro, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.