Active NPI
Northwest Ohio Chiropractic, Inc.
- Chiropractor
- Bryan, OH
National Provider Identifier
1578864286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 839
- Legal business name
- NORTHWEST OHIO CHIROPRACTIC, INC.
- Practice address
- 1304 W High St
Bryan, OH 43506-1544 - Phone
- (419) 636-5279
- Fax
- (419) 636-5805
- NPI assigned
- Nov 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andre Gaulard, D.C.
- Title
- President
- Phone
- (419) 636-5279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 839 | OH | Primary |
Addresses
Primary practice location
1304 W High St
Bryan, OH 43506-1544
Mailing address
1304 W High St
Bryan, OH 43506-1544
Phone (419) 636-5279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0444488 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
1304 W High St
Bryan, OH 43506
Phone (419) 636-5279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289433600000",
"number": "1578864286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 W HIGH ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061544",
"telephone_number": "419-636-5279",
"fax_number": "419-636-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 W HIGH ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061544",
"telephone_number": "419-636-5279",
"fax_number": "419-636-5805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST OHIO CHIROPRACTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-11",
"last_updated": "2010-11-11",
"status": "A",
"authorized_official_last_name": "GAULARD",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-636-5279",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OH",
"license": "839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0444488",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.