Organization Active NPI

Eastwood Chiropractic Office

  • Chiropractor
  • Girard, OH
National Provider Identifier
1376743393
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1078 OHIO Issued in OH
Legal business name
EASTWOOD CHIROPRACTIC OFFICE
Practice address
206 N State St
Girard, OH 44420-2536
Phone
(330) 219-7312
Fax
(330) 288-4597
NPI assigned
Jul 18, 2007
Last updated
Jul 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Dr. Terrence Matthew Hall, DCNPI 1922212877
Title
Business Owner
Phone
(330) 219-7312

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1078 OHIO OH Primary

Addresses

Primary practice location

206 N State St
Girard, OH 44420-2536

Mailing address

206 N State St
P.O.Box 427
Girard, OH 44420-2536
Phone (330) 219-7312

Other identifiers 1

IdentifierTypeStateIssuer
0630900MedicaidOH

National Provider Directory

National Provider Directory

Locations

206 N State St
Girard, OH 44420
Phone (330) 219-7312

Practitioners & affiliated clinicians

Practitioners 1

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": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1376743393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N STATE ST",
            "address_2": "P.O.BOX 427",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202536",
            "telephone_number": "330-219-7312",
            "fax_number": "330-288-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N STATE ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202536",
            "telephone_number": "330-219-7312",
            "fax_number": "330-288-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWOOD CHIROPRACTIC OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "330-219-7312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1078 OHIO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0630900",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.