Organization Active NPI

Nicholas J Phillips DC Inc

  • Chiropractor
  • Galion, OH
National Provider Identifier
1447439930
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1807 Issued in OH
Legal business name
NICHOLAS J PHILLIPS DC INC
Practice address
5 Public SQ
Galion, OH 44833-1926
Phone
(419) 468-4555
Fax
(419) 468-0005
NPI assigned
Oct 31, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Nicholas J Phillips, DC
Title
Owner
Phone
(419) 468-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1807 OH Primary

Addresses

Primary practice location

5 Public SQ
Galion, OH 44833-1926

Mailing address

5 Public SQ
Galion, OH 44833-1926
Phone (419) 468-4555

Other identifiers 1

IdentifierTypeStateIssuer
0854777MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101122000333 OH Part B Supplier - Clinic/Group Practice 9133315799 Receives reassigned benefits from 2 practitioners
Practice locations: Galion, OH

National Provider Directory

National Provider Directory

Locations

5 Public Sq
Galion, OH 44833
Phone (419) 468-4555

Practitioners & affiliated clinicians

Practitioners 2

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": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1447439930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PUBLIC SQ",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448331926",
            "telephone_number": "419-468-4555",
            "fax_number": "419-468-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PUBLIC SQ",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448331926",
            "telephone_number": "419-468-4555",
            "fax_number": "419-468-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS J PHILLIPS DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-468-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0854777",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.