Organization Active NPI

Belden Village Chiropractic & Wellness Center LLC

  • Chiropractor
  • Canton, OH
National Provider Identifier
1649596412
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1306 Issued in OH
Legal business name
BELDEN VILLAGE CHIROPRACTIC & WELLNESS CENTER LLC
Practice address
4200 Munson St NW Ste B
Canton, OH 44718-2981
Phone
(330) 493-0009
Fax
(330) 493-6659
NPI assigned
Apr 19, 2010
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Alexis Koerschner
Title
Insurance/Billing Manager
Phone
(330) 493-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1306 OH Primary

Addresses

Primary practice location

4200 Munson St NW Ste B
Canton, OH 44718-2981

Mailing address

4200 Munson St NW Ste B
Canton, OH 44718-2981
Phone (330) 493-0009

Other identifiers 1

IdentifierTypeStateIssuer
0694244MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100421000454 OH Part B Supplier - Clinic/Group Practice 0941337018 Receives reassigned benefits from 2 practitioners
Practice locations: Canton, OH

National Provider Directory

National Provider Directory

Locations

2424 Whipple Ave NW
Canton, OH 44708
Phone (330) 478-2255

4200 Munson St NW
Ste B
Canton, OH 44718
Phone (330) 493-0009

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1649596412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MUNSON ST NW STE B",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182981",
            "telephone_number": "330-493-0009",
            "fax_number": "330-493-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MUNSON ST NW STE B",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182981",
            "telephone_number": "330-493-0009",
            "fax_number": "330-493-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELDEN VILLAGE CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "KOERSCHNER",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "INSURANCE/BILLING MANAGER",
        "authorized_official_telephone_number": "330-493-0009"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0694244",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.