Organization Active NPI

Principled Physicians & Rehabilitation Center of Cincinnati

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1396783577
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2006 Issued in OH
Legal business name
PRINCIPLED PHYSICIANS & REHABILITATION CENTER OF CINCINNATI
Practice address
6700 Vine St
Cincinnati, OH 45216-2026
Phone
(513) 761-1175
Fax
(513) 761-1177
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Charles M Popa III, D.C.NPI 1063473940
Title
Owner
Phone
(513) 761-1175

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2006 OH Primary

Addresses

Primary practice location

6700 Vine St
Cincinnati, OH 45216-2026

Mailing address

6700 Vine St
Cincinnati, OH 45216-2026
Phone (513) 761-1175

Other identifiers 1

IdentifierTypeStateIssuer
2694473MedicaidOH

National Provider Directory

National Provider Directory

Locations

4083 Pleasant Ave
Hamilton, OH 45015
Phone (513) 887-9400

Practitioners & affiliated clinicians

Practitioners 3

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1396783577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452162026",
            "telephone_number": "513-761-1175",
            "fax_number": "513-761-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452162026",
            "telephone_number": "513-761-1175",
            "fax_number": "513-761-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPLED PHYSICIANS & REHABILITATION CENTER OF CINCINNATI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "POPA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-761-1175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2694473",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.