Organization Active NPI

Schubach Chiropractic, Inc.

  • Chiropractor
  • Tiffin, OH
National Provider Identifier
1508045063
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3345 Issued in OH
Legal business name
SCHUBACH CHIROPRACTIC, INC.
Practice address
450 E. Market St., Ste. B
Tiffin, OH 44883
Phone
(419) 447-0102
Fax
(419) 447-0112
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Jolena M Miller, D. CNPI 1508943937
Title
D. C.
Phone
(419) 447-0102

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3345 OH Primary

Addresses

Primary practice location

450 E. Market St., Ste. B
Tiffin, OH 44883

Mailing address

450 E. Market St., Ste. B
Tiffin, OH 44883
Phone (419) 447-0102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041129000588 OH Part B Supplier - Clinic/Group Practice 9133184435 Receives reassigned benefits from 1 practitioner
Practice locations: Tiffin, OH

National Provider Directory

National Provider Directory

Locations

450 E Market St
#A
Tiffin, OH 44883
Phone (419) 447-0102

450 E Market St
#B
Tiffin, OH 44883
Phone (419) 447-0102

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": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1508045063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E. MARKET ST., STE. B",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "44883",
            "telephone_number": "419-447-0102",
            "fax_number": "419-447-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E. MARKET ST., STE. B",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "44883",
            "telephone_number": "419-447-0102",
            "fax_number": "419-447-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUBACH CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOLENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "D. C.",
        "authorized_official_telephone_number": "419-447-0102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.