Organization Active NPI

Chiropractic Center, Inc

  • Chiropractor
  • Elyria, OH
National Provider Identifier
1376655662
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1467 Issued in OH
Legal business name
CHIROPRACTIC CENTER, INC
Practice address
42553 N Ridge Rd
Suite 8
Elyria, OH 44035-1046
Phone
(440) 324-4488
Fax
(440) 324-2465
NPI assigned
Aug 31, 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
Dr. Gary Allan Van Skyhock
Title
President
Phone
(440) 324-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1467 OH Primary

Addresses

Primary practice location

42553 N Ridge Rd
Suite 8
Elyria, OH 44035-1046

Mailing address

42553 N Ridge Rd
Suite 8
Elyria, OH 44035-1046
Phone (440) 324-4488

National Provider Directory

National Provider Directory

Locations

42553 N Ridge Rd
#8
Elyria, OH 44035
Phone (440) 324-4488

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376655662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42553 N RIDGE RD",
            "address_2": "SUITE 8",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351046",
            "telephone_number": "440-324-4488",
            "fax_number": "440-324-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42553 N RIDGE RD",
            "address_2": "SUITE 8",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351046",
            "telephone_number": "440-324-4488",
            "fax_number": "440-324-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN SKYHOCK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-324-4488",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, 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.