Organization Active NPI

University Chiropractic and Wellness

  • Chiropractor
  • Kent, OH
National Provider Identifier
1477951804
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4337 Issued in OH
Legal business name
UNIVERSITY CHIROPRACTIC AND WELLNESS
Practice address
2108 State Route 59
Unit a
Kent, OH 44240-7142
Phone
(330) 678-9999
NPI assigned
Dec 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Kaitlin Kline
Title
Office Manager
Phone
(330) 605-9884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4337 OH Primary

Addresses

Primary practice location

2108 State Route 59
Unit a
Kent, OH 44240-7142

Mailing address

2108 State Route 59
Unit a
Kent, OH 44240-7142
Phone (330) 678-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150311002213 OH Part B Supplier - Clinic/Group Practice 8022334978 Receives reassigned benefits from 1 practitioner
Practice locations: Kent, OH

National Provider Directory

National Provider Directory

Locations

5960 Horning Rd
Unit A
Kent, OH 44240
Phone (330) 678-9999

2108 State Route 59
Unit A
Kent, OH 44240
Phone (330) 678-9999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1477951804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 STATE ROUTE 59",
            "address_2": "UNIT A",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442407142",
            "telephone_number": "330-678-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 STATE ROUTE 59",
            "address_2": "UNIT A",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442407142",
            "telephone_number": "330-678-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-605-9884"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.