NPIMap

Organization Active NPI

Eastland Chiropractic LLC

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1457474694
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3510 Issued in OH
Legal business name
EASTLAND CHIROPRACTIC LLC
Practice address
4261 Kimberly Pkwy
Columbus, OH 43232-7226
Phone
(614) 755-7700
Fax
(614) 755-9634
NPI assigned
Apr 10, 2007
Last updated
Mar 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Mrs. Sarah Rothgeb
Title
Billing Specialist
Phone
(614) 801-1307

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3510 OH Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT010968 OH

Addresses

Primary practice location

4261 Kimberly Pkwy
Columbus, OH 43232-7226

Mailing address

3696 Garden CT
Grove City, OH 43123-2906
Phone (614) 801-1307

Other identifiers 2

IdentifierTypeStateIssuer
2771031MedicaidOH
2521597MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1457474694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3696 GARDEN CT",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232906",
            "telephone_number": "614-801-1307",
            "fax_number": "614-277-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4261 KIMBERLY PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432327226",
            "telephone_number": "614-755-7700",
            "fax_number": "614-755-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAND CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "ROTHGEB",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "614-801-1307",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3510",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT010968",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2771031",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2521597",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 13, 2013; 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.