Organization Active NPI

Aldrich Chiropractic Center LLC

  • Chiropractor
  • Gahanna, OH
National Provider Identifier
1467622647
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1171 Issued in OH
Legal business name
ALDRICH CHIROPRACTIC CENTER LLC
Practice address
100 N Hamilton Rd
Gahanna, OH 43230-2694
Phone
(614) 471-0018
Fax
(614) 471-5632
NPI assigned
Mar 4, 2008
Last updated
Jul 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Bruce D Aldrich, DCNPI 1568421204
Title
Owner
Phone
(614) 471-0018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1171 OH Primary

Addresses

Primary practice location

100 N Hamilton Rd
Gahanna, OH 43230-2694

Mailing address

100 N Hamilton Rd
Gahanna, OH 43230-2694
Phone (614) 471-0018

Other identifiers 1

IdentifierTypeStateIssuer
0675738MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050830000385 OH Part B Supplier - Clinic/Group Practice 7416988415 Receives reassigned benefits from 1 practitioner
Practice locations: Gahanna, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1467622647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302694",
            "telephone_number": "614-471-0018",
            "fax_number": "614-471-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302694",
            "telephone_number": "614-471-0018",
            "fax_number": "614-471-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDRICH CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "ALDRICH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-471-0018",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0675738",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.