Active NPI
Kent C Long DC Inc
- Rehabilitation Chiropractor
- Dayton, OH
National Provider Identifier
1386771673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 1362
- Legal business name
- KENT C LONG DC INC
- Practice address
- 4978 Northcutt PL
Dayton, OH 45414-3840 - Phone
- (937) 278-7246
- Fax
- (937) 278-5640
- NPI assigned
- Feb 27, 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. Kent Charles Long, D.C.
- Title
- Owner
- Phone
- (937) 278-7246
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 1362 | OH | Primary |
Addresses
Primary practice location
4978 Northcutt PL
Dayton, OH 45414-3840
Mailing address
4978 Northcutt PL
Dayton, OH 45414-3840
Phone (937) 278-7246
Other names 1
- Long Chiropractic Office
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4978 Northcutt Pl
Dayton, OH 45414
Phone (937) 278-7246
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Dayton, OH
- NPI 1649323379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258502400000",
"number": "1386771673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4978 NORTHCUTT PL",
"city": "DAYTON",
"state": "OH",
"postal_code": "454143840",
"telephone_number": "937-278-7246",
"fax_number": "937-278-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4978 NORTHCUTT PL",
"city": "DAYTON",
"state": "OH",
"postal_code": "454143840",
"telephone_number": "937-278-7246",
"fax_number": "937-278-5640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENT C LONG DC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2009-11-18",
"status": "A",
"authorized_official_last_name": "LONG",
"authorized_official_first_name": "KENT",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-278-7246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "OH",
"license": "1362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Long Chiropractic Office",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.