Organization Active NPI

Barberton Chiropractic Clinic

  • Chiropractor
  • Barberton, OH
National Provider Identifier
1306154521
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
626 Issued in OH
Legal business name
BARBERTON CHIROPRACTIC CLINIC
Practice address
637 W Tuscarawas Ave
Barberton, OH 44203-2430
Phone
(330) 745-2033
NPI assigned
Sep 22, 2010
Last updated
Nov 12, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
URGENT CARE AND MEDICAL CHIROPRACTIC REHABAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Robert Nenadov, DC
Title
Chiropractor
Phone
(330) 745-2033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 626 OH Primary

Addresses

Primary practice location

637 W Tuscarawas Ave
Barberton, OH 44203-2430

Mailing address

637 W Tuscarawas Ave
Barberton, OH 44203-2430
Phone (330) 745-2033

Other identifiers 2

IdentifierTypeStateIssuer
0466240MedicaidOH
341347537OtherOHTAX ID

National Provider Directory

National Provider Directory
Part of
Urgent Care Med Chiro R

Locations

637 W Tuscarawas Ave
Barberton, OH 44203
Phone (330) 745-2033

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1306154521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 W TUSCARAWAS AVE",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442032430",
            "telephone_number": "330-745-2033",
            "fax_number": "330-745-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 W TUSCARAWAS AVE",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442032430",
            "telephone_number": "330-745-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBERTON CHIROPRACTIC CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "URGENT CARE AND MEDICAL CHIROPRACTIC REHAB",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "NENADOV",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "330-745-2033",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0466240",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "341347537",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.