Organization Active NPI

Belden Village Pain and Wellness Center

  • Rehabilitation Clinic/Center
  • Canton, OH
National Provider Identifier
1386763159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
BELDEN VILLAGE PAIN AND WELLNESS CENTER
Practice address
4368 Dressler Rd NW
Suite 201
Canton, OH 44718-2771
Phone
(330) 493-0009
Fax
(330) 493-6659
NPI assigned
Mar 29, 2007
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. Brent A Ungar, D.C.
Title
Clinic Director
Phone
(330) 493-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

4368 Dressler Rd NW
Suite 201
Canton, OH 44718-2771

Mailing address

4368 Dressler Rd NW
Suite 201
Canton, OH 44718-2771
Phone (330) 493-0009

Other identifiers 1

IdentifierTypeStateIssuer
0352587MedicaidOH

National Provider Directory

National Provider Directory

Locations

4368 Dressler Rd NW
Ste 201
Canton, OH 44718
Phone (330) 493-0009

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386763159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4368 DRESSLER RD NW",
            "address_2": "SUITE 201",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182771",
            "telephone_number": "330-493-0009",
            "fax_number": "330-493-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 DRESSLER RD NW",
            "address_2": "SUITE 201",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182771",
            "telephone_number": "330-493-0009",
            "fax_number": "330-493-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELDEN VILLAGE PAIN AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNGAR",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "330-493-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0352587",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, 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.