NPIMap

Organization Active NPI

Thaddeus C. Bosman, D.C., Inc.

Doing business as twinsburg Chiropractic Center

  • Chiropractor
  • Twinsburg, OH
National Provider Identifier
1396054201
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1174 Issued in OH
Legal business name
THADDEUS C. BOSMAN, D.C., INC.
Doing business as
twinsburg Chiropractic Center
Practice address
8984 Darrow Rd
Twinsburg, OH 44087-2186
Phone
(330) 425-2101
Fax
(330) 963-0478
NPI assigned
Sep 28, 2010
Last updated
Sep 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Thaddeus C. Bosman, D.C.NPI 1215089107
Title
President
Phone
(330) 425-2101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1174 OH Primary

Addresses

Primary practice location

8984 Darrow Rd
Twinsburg, OH 44087-2186

Mailing address

8984 Darrow Rd
Twinsburg, OH 44087-2186
Phone (330) 425-2101

Other identifiers 4

IdentifierTypeStateIssuer
362823184002OtherOHMEDICAL MUTUAL PIN NUMBER
000000136035OtherOHANTHEM PIN NUMBER
0655643MedicaidOH
P00319931OtherOHRAILROAD MEDICARE PIN

Other names 1

  • twinsburg Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

8984 Darrow Rd
Twinsburg, OH 44087
Phone (330) 425-2101

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": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1396054201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8984 DARROW RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872186",
            "telephone_number": "330-425-2101",
            "fax_number": "330-963-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8984 DARROW RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872186",
            "telephone_number": "330-425-2101",
            "fax_number": "330-963-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THADDEUS C. BOSMAN, D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "BOSMAN",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-425-2101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL PIN NUMBER",
            "identifier": "362823184002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000136035",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655643",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00319931",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "twinsburg Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.