Organization Active NPI

Chiropractic Health Center, LLC

Doing business as Capital City Chiropractic

  • Chiropractor
  • Lewis Center, OH
National Provider Identifier
1386818532
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3745 Issued in OH
Legal business name
CHIROPRACTIC HEALTH CENTER, LLC
Doing business as
Capital City Chiropractic
Practice address
8621 Columbus Pike
Lewis Center, OH 43035-9615
Phone
(614) 839-1044
Fax
(614) 343-3430
NPI assigned
Apr 18, 2008
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Matthew J Marcotte, D.C.NPI 1386677946
Title
Owner
Phone
(614) 839-1044

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
Chiropractor 111N00000X 3745 OH Primary

Addresses

Primary practice location

8621 Columbus Pike
Lewis Center, OH 43035-9615

Mailing address

8621 Columbus Pike
Lewis Center, OH 43035-9615
Phone (614) 839-1044

Other identifiers 1

IdentifierTypeStateIssuer
486173447003OtherOHMEDICAL MUTUAL

Other names 1

  • Capital City Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080319000409 OH Part B Supplier - Clinic/Group Practice 6103902929 Receives reassigned benefits from 2 practitioners
Practice locations: Lewis Center, OH

National Provider Directory

National Provider Directory

Locations

8611 Columbus Pike
Lewis Center, OH 43035
Phone (614) 839-1044

8621 Columbus Pike
Lewis Center, OH 43035
Phone (614) 839-1044

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1386818532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8621 COLUMBUS PIKE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359615",
            "telephone_number": "614-839-1044",
            "fax_number": "614-343-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8621 COLUMBUS PIKE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359615",
            "telephone_number": "614-839-1044",
            "fax_number": "614-343-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "MARCOTTE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-839-1044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "486173447003",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital City Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.