Organization Active NPI

Vongunten Chiropractic and Wellness Center LLC

  • Chiropractor
  • Canton, OH
National Provider Identifier
1407091564
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC3695 Issued in OH
Legal business name
VONGUNTEN CHIROPRACTIC AND WELLNESS CENTER LLC
Practice address
4830 Ridgeside Cir SE
Canton, OH 44707-1133
Phone
(330) 284-3646
NPI assigned
Dec 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. Eric Vongunten, D.C.
Title
Owner
Phone
(330) 284-3646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC3695 OH Primary

Addresses

Primary practice location

4830 Ridgeside Cir SE
Canton, OH 44707-1133

Mailing address

4830 Ridgeside Cir SE
Canton, OH 44707-1133
Phone (330) 284-3646

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1407091564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 RIDGESIDE CIR SE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447071133",
            "telephone_number": "330-284-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 RIDGESIDE CIR SE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447071133",
            "telephone_number": "330-284-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VONGUNTEN CHIROPRACTIC AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "VONGUNTEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-284-3646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC3695",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 3, 2008; 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.