Active NPI
Erie Shores Chiropractic
- Chiropractor
- Port Clinton, OH
National Provider Identifier
1376825679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4086
- Legal business name
- ERIE SHORES CHIROPRACTIC
- Practice address
- 113 Madison St
Port Clinton, OH 43452-1103 - Phone
- (419) 732-2273
- Fax
- (419) 734-3743
- NPI assigned
- Sep 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin M Francis, DC
- Title
- Owner
- Phone
- (419) 732-2273
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4086 | OH | Primary |
Addresses
Primary practice location
113 Madison St
Port Clinton, OH 43452-1103
Mailing address
113 Madison St
Port Clinton, OH 43452-1103
Phone (419) 732-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
113 Madison St
Port Clinton, OH 43452
Phone (419) 732-2273
122 W 2nd St
#100
Port Clinton, OH 43452
Phone (419) 708-0441
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Port Clinton, OH
- NPI 1366758427
-
- Massage Therapist
- Port Clinton, OH
- NPI 1073133302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681862400000",
"number": "1376825679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 MADISON ST",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434521103",
"telephone_number": "419-732-2273",
"fax_number": "419-734-3743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 MADISON ST",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434521103",
"telephone_number": "419-732-2273",
"fax_number": "419-734-3743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIE SHORES CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-13",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A",
"authorized_official_last_name": "FRANCIS",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-732-2273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OH",
"license": "4086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Clinton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.