Organization Active NPI

Valley Chiropractic Center Inc

  • Chiropractor
  • Centerville, OH
National Provider Identifier
1336200021
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VALLEY CHIROPRACTIC CENTER INC
Practice address
7865 Paragon Rd
Suite 101
Centerville, OH 45459-4039
Phone
(937) 434-8066
Fax
(937) 434-8366
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul Fredrick Fulk, DC
Title
President
Phone
(937) 434-8066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7865 Paragon Rd
Suite 101
Centerville, OH 45459-4039

Mailing address

7865 Paragon Rd
Suite 101
Centerville, OH 45459-4039
Phone (937) 434-8066

National Provider Directory

National Provider Directory

Locations

7865 Paragon Rd
Ste 101
Centerville, OH 45459
Phone (937) 434-8066

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336200021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 PARAGON RD",
            "address_2": "SUITE 101",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594039",
            "telephone_number": "937-434-8066",
            "fax_number": "937-434-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 PARAGON RD",
            "address_2": "SUITE 101",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594039",
            "telephone_number": "937-434-8066",
            "fax_number": "937-434-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-434-8066",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.