Organization Active NPI

Brett C Stefan Chiropractic LLC

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1629562244
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-04558 Issued in OH
Legal business name
BRETT C STEFAN CHIROPRACTIC LLC
Practice address
2879 E Dublin Granville Rd Ste a
Columbus, OH 43231-4063
Phone
(614) 898-0787
NPI assigned
Jun 18, 2018
Last updated
Jun 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Dawn Shirey
Title
Manager
Phone
(330) 302-4136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-04558 OH Primary

Addresses

Primary practice location

2879 E Dublin Granville Rd Ste a
Columbus, OH 43231-4063

Mailing address

2879 E Dublin Granville Rd Ste a
Columbus, OH 43231-4063
Phone (614) 898-0787

Other identifiers 1

IdentifierTypeStateIssuer
2987782MedicaidOH

National Provider Directory

National Provider Directory

Locations

2879 E Dublin Granville Rd
Ste A
Columbus, OH 43231
Phone (614) 898-0787

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1629562244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2879 E DUBLIN GRANVILLE RD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314063",
            "telephone_number": "614-898-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 E DUBLIN GRANVILLE RD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314063",
            "telephone_number": "614-898-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT C STEFAN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "SHIREY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "330-302-4136"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2987782",
            "state": "OH"
        }
    ],
    "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 Jun 18, 2018; 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.