Active NPI
Belden Village Pain and Wellness Center
- Rehabilitation Clinic/Center
- Canton, OH
National Provider Identifier
1386763159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0352587 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Canton, OH
- NPI 1215117163
-
- Massage Therapist
- Canton, OH
- NPI 1417161613
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.