Organization Active NPI

Erie Shores Chiropractic

  • Chiropractor
  • Port Clinton, OH
National Provider Identifier
1376825679
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4086 Issued in OH
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

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Dr. Kevin M Francis, DCNPI 1366758427
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20120514000392 OH Part B Supplier - Clinic/Group Practice 7911160882 Receives reassigned benefits from 1 practitioner
Practice locations: Port Clinton, OH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.