Organization Active NPI

Tallmadge Chiropractic LLC

  • Chiropractor
  • Tallmadge, OH
National Provider Identifier
1376089391
Registry record updated Jan 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4682 Issued in OH
Legal business name
TALLMADGE CHIROPRACTIC LLC
Practice address
168 East Ave
Tallmadge, OH 44278-2311
Phone
(330) 633-1909
NPI assigned
Jan 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2017

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

Authorized official

Name
Dr. Serif Krkic, DC
Title
Doctor
Phone
(330) 475-9150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4682 OH Primary

Addresses

Primary practice location

168 East Ave
Tallmadge, OH 44278-2311

Mailing address

168 East Ave
Tallmadge, OH 44278-2311
Phone (330) 633-1909

National Provider Directory

National Provider Directory

Locations

168 East Ave
Tallmadge, OH 44278
Phone (330) 633-1909

Practitioners & affiliated clinicians

Practitioners 3

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": "1484352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484352000000",
    "number": "1376089391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 EAST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782311",
            "telephone_number": "330-633-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 EAST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782311",
            "telephone_number": "330-633-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLMADGE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-14",
        "last_updated": "2017-01-14",
        "status": "A",
        "authorized_official_last_name": "KRKIC",
        "authorized_official_first_name": "SERIF",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "330-475-9150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; 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.