NPIMap

Organization Active NPI

Glendale Family Chiropractic

  • Chiropractor
  • Glendale, OH
National Provider Identifier
1346648979
Registry record updated Dec 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4444 Issued in OH
Legal business name
GLENDALE FAMILY CHIROPRACTIC
Practice address
1125 Congress Ave
Glendale, OH 45246-4426
Phone
(513) 771-1109
Fax
(513) 771-1129
NPI assigned
Dec 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2014

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

Authorized official

Name
Dr. Leslie Zook, D.C.
Title
Partner/Doctor
Phone
(513) 771-1109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4444 OH Primary

Addresses

Primary practice location

1125 Congress Ave
Glendale, OH 45246-4426

Mailing address

1125 Congress Ave
Glendale, OH 45246-4426
Phone (513) 771-1109

National Provider Directory

National Provider Directory

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": "1418428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418428800000",
    "number": "1346648979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CONGRESS AVE",
            "city": "GLENDALE",
            "state": "OH",
            "postal_code": "452464426",
            "telephone_number": "513-771-1109",
            "fax_number": "513-771-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CONGRESS AVE",
            "city": "GLENDALE",
            "state": "OH",
            "postal_code": "452464426",
            "telephone_number": "513-771-1109",
            "fax_number": "513-771-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-13",
        "last_updated": "2014-12-13",
        "status": "A",
        "authorized_official_last_name": "ZOOK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PARTNER/DOCTOR",
        "authorized_official_telephone_number": "513-771-1109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2014; 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.