Organization Active NPI

Peter T. Betras

  • Chiropractor
  • Youngstown, OH
National Provider Identifier
1457553323
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
705 Issued in OH
Legal business name
PETER T. BETRAS
Practice address
3434 Canfield Rd
Youngstown, OH 44511-2803
Phone
(330) 792-1118
Fax
(330) 792-1479
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Dr. Peter T. Betras, D.C.
Title
Owner
Phone
(330) 792-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 705 OH Primary

Addresses

Primary practice location

3434 Canfield Rd
Youngstown, OH 44511-2803

Mailing address

3434 Canfield Rd
Youngstown, OH 44511-2702
Phone (330) 792-1118

National Provider Directory

National Provider Directory

Locations

3434 Canfield Rd
Youngstown, OH 44511
Phone (330) 792-1118

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1457553323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 CANFIELD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112702",
            "telephone_number": "330-792-1118",
            "fax_number": "330-792-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 CANFIELD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112803",
            "telephone_number": "330-792-1118",
            "fax_number": "330-792-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER T. BETRAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "BETRAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-792-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.