Chiropractic Spine Center, LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

3400 Issued in OH

Legal business name

CHIROPRACTIC SPINE CENTER, LLC

Practice address

1930 Pearl Rd
Suite 2
Brunswick, OH 44212-6477

Phone

(330) 220-2001

Fax

(330) 220-2232

NPI assigned

Apr 25, 2007

Last updated

Oct 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dany/Laura Cambouris/Dew

Title

Manager/Biller

Phone

(330) 220-2001

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Aden John Cockburn, DC

  • Chiropractor
  • Brunswick, OH
  • NPI 1316833007
  NPD (past)
• Jaythan Brad Keatley

  • Massage Therapist
  • Brunswick, OH
  • NPI 1851126205

  Single Specialty

  NPD (past)
• James Joseph Spoerl, LPT

  • Physical Therapist
  • Brunswick, OH
  • NPI 1811101553
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1447479571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 PEARL RD",
            "address_2": "SUITE 2",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442126477",
            "telephone_number": "330-220-2001",
            "fax_number": "330-220-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 PEARL RD",
            "address_2": "SUITE 2",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442126477",
            "telephone_number": "330-220-2001",
            "fax_number": "330-220-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "CAMBOURIS/DEW",
        "authorized_official_first_name": "DANY/LAURA",
        "authorized_official_title_or_position": "MANAGER/BILLER",
        "authorized_official_telephone_number": "330-220-2001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "3400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chariot Homehealth Care & Staffing Agency
• Chariot Homes LLC
• Michael B Chase
• Marianne Alexis Chiara
• Kelley Chin
• Michael Cintron
• Cirino Eye Center, Inc.
• Anthony J Cirino, D.O.
• City of Brunswick
• Stephen Clapacs

• Rehabilitation Chiropractor in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Rehabilitation Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.