Powell Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

POWELL CHIROPRACTIC INC

Practice address

71 E Wilson Bridge Road
Suite 3a
Worthington, OH 43085

Phone

(614) 848-6022

Fax

(614) 848-5267

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Robert A Urbanek, DC CHIROPRACTOR

Title

Owner

Phone

(614) 848-6022

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Campus View Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1346318540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 E WILSON BRIDGE ROAD",
            "address_2": "SUITE 3A",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "43085",
            "telephone_number": "614-848-6022",
            "fax_number": "614-848-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 E WILSON BRIDGE ROAD",
            "address_2": "SUITE 3A",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "43085",
            "telephone_number": "614-848-6022",
            "fax_number": "614-848-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "URBANEK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-848-6022",
        "authorized_official_credential": "DC CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2343146",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus View Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matt Polston
• Sally Marie Popa
• Hannah Marie Popovec, M.A., CCC-SLP
• Amara Porter
• Tommy Porter
• Dillon Powell
• Tinika Powell
• Dustina Tamara Lee Powelson
• Charvez Pratcher, MSW
• Lauren Presti

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.