Organization Active NPI

Central Ohio Health & Rehabilitation Advanced Chiropractic P.C.

  • Rehabilitation Chiropractor
  • Granville, OH
National Provider Identifier
1649458332
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2978 Issued in OH
Legal business name
CENTRAL OHIO HEALTH & REHABILITATION ADVANCED CHIROPRACTIC P.C.
Practice address
204 Munson St
Granville, OH 43023-1284
Phone
(740) 321-1214
Fax
(740) 321-1264
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Mr. Michael A Novak, D.C.
Title
Owner
Phone
(740) 321-1214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 2978 OH Primary

Addresses

Primary practice location

204 Munson St
Granville, OH 43023-1284

Mailing address

PO Box 397
Granville, OH 43023-0397
Phone (740) 321-1214

National Provider Directory

National Provider Directory

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": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1649458332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430230397",
            "telephone_number": "740-321-1214",
            "fax_number": "740-321-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MUNSON ST",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231284",
            "telephone_number": "740-321-1214",
            "fax_number": "740-321-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO HEALTH & REHABILITATION ADVANCED CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-321-1214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "2978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.