Organization Active NPI

Chris Stychno Chiropractic Center LLC

Doing business as CPS Diagnostics

  • Chiropractor
  • Warren, OH
National Provider Identifier
1497094361
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHRIS STYCHNO CHIROPRACTIC CENTER LLC
Practice address
106 E Market St Ste 310
Warren, OH 44481-1151
Phone
(234) 223-2921
Fax
(234) 223-2258
NPI assigned
Feb 12, 2013
Last updated
Apr 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Christopher P Stychno, DC
Title
Owner/Sole MBR
Phone
(234) 223-2921

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

106 E Market St Ste 310
Warren, OH 44481-1151

Mailing address

716 Perkinswood Blvd SE
Warren, OH 44483-6228
Phone (309) 802-1783

Other identifiers 1

IdentifierTypeStateIssuer
0109240MedicaidOH

Other names 1

  • CPS Diagnostics Other name

National Provider Directory

National Provider Directory

Locations

106 E Market St
Ste 310
Warren, OH 44481
Phone (234) 223-2921

1553 Niles Cortland Rd SE
Ste 1
Warren, OH 44484
Phone (330) 372-2324

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1497094361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 PERKINSWOOD BLVD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836228",
            "telephone_number": "309-802-1783",
            "fax_number": "234-223-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E MARKET ST STE 310",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811151",
            "telephone_number": "234-223-2921",
            "fax_number": "234-223-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS STYCHNO CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "STYCHNO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/SOLE MBR",
        "authorized_official_telephone_number": "234-223-2921",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109240",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPS DIAGNOSTICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CPS Diagnostics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.