Organization Active NPI

Longworth Chiropractic Clinic Inc

  • Chiropractor
  • North Canton, OH
National Provider Identifier
1417506171
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LONGWORTH CHIROPRACTIC CLINIC INC
Doing business as
Longworth Chiropractic Sports & Wellness
Practice address
7023 Mears Gate Dr
Ste B
North Canton, OH 44720-8849
Phone
(330) 494-5554
Fax
(330) 494-2792
NPI assigned
Sep 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Craig W Longworth, DCNPI 1063518298
Title
President
Phone
(330) 494-5554

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7023 Mears Gate Dr
Ste B
North Canton, OH 44720-8849

Mailing address

7023 Mears Gate Dr
Ste B
North Canton, OH 44720-8849
Phone (330) 494-5554

Other names 1

  • Longworth Chiropractic Sports & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200117001431 OH Part B Supplier - Clinic/Group Practice 0840625927 Receives reassigned benefits from 2 practitioners
Practice locations: North Canton, OH

National Provider Directory

National Provider Directory

Locations

7023 Mears Gate Dr NW
North Canton, OH 44720
Phone (330) 494-5554

7023 Mears Gate Dr NW
Ste B
North Canton, OH 44720
Phone (330) 494-5554

Practitioners & affiliated clinicians

Practitioners 2

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": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1417506171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 MEARS GATE DR",
            "address_2": "STE B",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447208849",
            "telephone_number": "330-494-5554",
            "fax_number": "330-494-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7023 MEARS GATE DR",
            "address_2": "STE B",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447208849",
            "telephone_number": "330-494-5554",
            "fax_number": "330-494-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGWORTH CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "LONGWORTH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-494-5554",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longworth Chiropractic Sports & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.