NPIMap

Organization Active NPI

North Coast Chiropractic

  • Chiropractor
  • Elyria, OH
National Provider Identifier
1508130469
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
730 Issued in OH
Legal business name
NORTH COAST CHIROPRACTIC
Practice address
362 E Bridge St
Elyria, OH 44035-5223
Phone
(440) 323-3840
Fax
(440) 323-1566
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Robert F Demaria, DC DABCO FASBENPI 1235352725
Title
Owner
Phone
(440) 323-3840

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 730 OH Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 4254 OH
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 4255 OH

Addresses

Primary practice location

362 E Bridge St
Elyria, OH 44035-5223

Mailing address

362 E Bridge St
Elyria, OH 44035-5223
Phone (440) 323-3840

Other identifiers 1

IdentifierTypeStateIssuer
0653118MedicaidOH

National Provider Directory

National Provider Directory

Locations

362 E Bridge St
Elyria, OH 44035
Phone (440) 323-3840

Practitioners & affiliated clinicians

Practitioners 3

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": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1508130469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 E BRIDGE ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355223",
            "telephone_number": "440-323-3840",
            "fax_number": "440-323-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 E BRIDGE ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355223",
            "telephone_number": "440-323-3840",
            "fax_number": "440-323-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "DEMARIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-323-3840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC DABCO FASBE"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "730",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4254",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4255",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0653118",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.