NPIMap

Organization Active NPI

Alliance Chiropractic Center, Inc

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1487843769
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2673 Issued in OH
Legal business name
ALLIANCE CHIROPRACTIC CENTER, INC
Practice address
607 S Hamilton Rd
Columbus, OH 43213-3176
Phone
(614) 235-8199
Fax
(614) 235-8646
NPI assigned
Oct 23, 2007
Last updated
Nov 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Authorized official

Name
Jennifer M Moeller, D.C.
Title
Owner
Phone
(614) 235-8199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2673 OH Primary

Addresses

Primary practice location

607 S Hamilton Rd
Columbus, OH 43213-3176

Mailing address

607 S Hamilton Rd
Columbus, OH 43213-3176
Phone (614) 235-8199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051215000005 OH Part B Supplier - Clinic/Group Practice 4183645302 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

607 S Hamilton Rd
Whitehall, OH 43213
Phone (614) 235-8199

Practitioners & affiliated clinicians

Practitioners 10

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": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1487843769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133176",
            "telephone_number": "614-235-8199",
            "fax_number": "614-235-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133176",
            "telephone_number": "614-235-8199",
            "fax_number": "614-235-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "MOELLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-235-8199",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2673",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 12, 2007; 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.