NPIMap

Organization Active NPI

Cir I

Doing business as COLUMBUS INJURY & REHAB Center LLC

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1417593021
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CIR I
Doing business as
COLUMBUS INJURY & REHAB Center LLC
Practice address
3901 E Livingston Ave Ste 102
Columbus, OH 43227-2302
Phone
(330) 835-9918
Fax
(614) 826-3450
NPI assigned
Nov 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Dr. Kabin Joel Carder, DCNPI 1376672071
Title
Chiropractor
Phone
(614) 235-3778

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 Primary

Addresses

Primary practice location

3901 E Livingston Ave Ste 102
Columbus, OH 43227-2302

Mailing address

PO Box 20770
Columbus, OH 43220-0770
Phone (614) 235-3778

Other identifiers 1

IdentifierTypeStateIssuer
0372266MedicaidOH

Other names 1

  • COLUMBUS INJURY & REHAB Center LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3901 E Livingston Ave
Ste 102
Columbus, OH 43227
Phone (614) 732-0888

Practitioners & affiliated clinicians

Practitioners 1

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": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1417593021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20770",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200770",
            "telephone_number": "614-235-3778",
            "fax_number": "614-826-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E LIVINGSTON AVE STE 102",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432272302",
            "telephone_number": "330-835-9918",
            "fax_number": "614-826-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIR I",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "CARDER",
        "authorized_official_first_name": "KABIN",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "614-235-3778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0372266",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLUMBUS INJURY & REHAB Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.