Active NPI
Craig P Church, D.C
- Radiology Chiropractor
- Toledo, OH
National Provider Identifier
1316075401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- 1897
- Practice address
- 723 Phillips Ave Ste 275
Toledo, OH 43612-1300 - Phone
- (419) 269-2424
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | 1897 | OH | Primary |
Addresses
Primary practice location
723 Phillips Ave Ste 275
Toledo, OH 43612-1300
Mailing address
2626 W Rockridge Cir
Toledo, OH 43606-2851
Phone (630) 730-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1897 | OH | MD | Radiology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Radiology Service LLC | Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Chiropractor
- Toledo, OH
- NPI 1386024651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1316075401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 W ROCKRIDGE CIR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436062851",
"telephone_number": "630-730-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 PHILLIPS AVE STE 275",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436121300",
"telephone_number": "419-269-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "CRAIG",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "OH",
"license": "1897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.