Organization Active NPI

Independence Accident and Injury Center, LLC

  • Chiropractor
  • Independence, OH
National Provider Identifier
1467990168
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INDEPENDENCE ACCIDENT AND INJURY CENTER, LLC
Practice address
6701 Rockside Rd
Suite 230
Independence, OH 44131-2358
Phone
(216) 264-4327
Fax
(844) 737-0784
NPI assigned
Feb 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Roy Korth
Title
Member
Phone
(216) 264-4327

Specialties & licenses 1

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

Addresses

Primary practice location

6701 Rockside Rd
Suite 230
Independence, OH 44131-2358

Mailing address

3699 Garden CT
Grove City, OH 43123-2906
Phone (216) 264-4327

National Provider Directory

National Provider Directory

Locations

6701 Rockside Rd
Ste 230
Independence, OH 44131
Phone (216) 264-4327

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1467990168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 GARDEN CT",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232906",
            "telephone_number": "216-264-4327",
            "fax_number": "844-737-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD",
            "address_2": "SUITE 230",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312358",
            "telephone_number": "216-264-4327",
            "fax_number": "844-737-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE ACCIDENT AND INJURY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "KORTH",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "216-264-4327"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.