Poland Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1354 Issued in OH

Legal business name

POLAND CHIROPRACTIC CLINIC INC

Practice address

44 N Main St
Poland, OH 44514-1627

Phone

(330) 757-4029

Fax

(330) 757-9192

NPI assigned

Mar 18, 2011

Last updated

Apr 1, 2011By 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. Thomas A Divito, D,C.NPI 1801894852

Title

Owner

Phone

(330) 757-4029

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas A Divito, D.C.

  • Chiropractor
  • Poland, OH
  • NPI 1801894852
  Authorized official Same address or phone
• Alexa Nicole Bodine, DC

  • Chiropractor
  • Poland, OH
  • NPI 1558074690
  NPD (past)
• Thomas Joseph Devito, PA-C, M.S.

  • Medical Physician Assistant
  • Raleigh, NC
  • NPI 1609896026
  NPD (past)

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1316246135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 N MAIN ST",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141627",
            "telephone_number": "330-757-4029",
            "fax_number": "330-757-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 N MAIN ST",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141627",
            "telephone_number": "330-757-4029",
            "fax_number": "330-757-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLAND CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "DIVITO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-757-4029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0731051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria E Piersante, PA-C
• PM&R North, Inc.
• PM&R North, Inc. (All Points Physical Medicine)
• Poland Alf Operations LLC (Poland Assisted Living)
• Poland Center for Sleep, LTD. (Delta Center for Sleep, Ltd.)
• Poland Chiropractic Clinic LLC
• Poland Eye and Laser Center, LLC
• Poland Family Chiropractic, Inc.
• Poland Imaging
• Poland Local SD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.