NPIMap

Organization Active NPI

S.G. Rabe, D.C. and Associates, Inc.

  • Chiropractor
  • Lima, OH
National Provider Identifier
1356539688
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
659 Issued in OH
Legal business name
S.G. RABE, D.C. AND ASSOCIATES, INC.
Practice address
288 Professional Place
Lima, OH 45807-3202
Phone
(419) 224-5678
Fax
(419) 221-3340
NPI assigned
Oct 11, 2007
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Michael Wheeler, DCNPI 1104873462
Title
Owner
Phone
(419) 224-5678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 659 OH Primary

Addresses

Primary practice location

288 Professional Place
Lima, OH 45807-3202

Mailing address

288 Professional Place
Lima, OH 45807-3202
Phone (419) 224-5678

Other identifiers 2

IdentifierTypeStateIssuer
0387157MedicaidOH
0152151MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040422001032 OH Part B Supplier - Clinic/Group Practice 1759377906 Receives reassigned benefits from 5 practitioners
Practice locations: Lima, OH

National Provider Directory

National Provider Directory

Locations

288 Professional Pl
Lima, OH 45807
Phone (419) 221-3340

3477 S Dixie Hwy
Lima, OH 45804
Phone (419) 224-2820

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1356539688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 PROFESSIONAL PLACE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458073202",
            "telephone_number": "419-224-5678",
            "fax_number": "419-221-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 PROFESSIONAL PLACE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458073202",
            "telephone_number": "419-224-5678",
            "fax_number": "419-221-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.G. RABE, D.C. AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-224-5678",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0387157",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152151",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.