Organization Active NPI

Bucyrus Family Chiropractic Center LLC

  • Chiropractor
  • Bucyrus, OH
National Provider Identifier
1649930033
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BUCYRUS FAMILY CHIROPRACTIC CENTER LLC
Practice address
1005 Marion Rd
Bucyrus, OH 44820-3104
Phone
(419) 562-6565
Fax
(419) 562-5991
NPI assigned
Dec 27, 2021
Last updated
Dec 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Authorized official

Name
Dr. Jennifer Lynn Rogers, DCNPI 1275532962
Title
Owner
Phone
(419) 562-6565

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1005 Marion Rd
Bucyrus, OH 44820-3104

Mailing address

1005 Marion Rd
Bucyrus, OH 44820-3104
Phone (419) 562-6565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220207000974 OH Part B Supplier - Clinic/Group Practice 3577956028 Receives reassigned benefits from 1 practitioner
Practice locations: Bucyrus, OH

National Provider Directory

National Provider Directory

Locations

1005 Marion Rd
Bucyrus, OH 44820
Phone (419) 562-6565

Practitioners & affiliated clinicians

Practitioners 2

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": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1649930033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MARION RD",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448203104",
            "telephone_number": "419-562-6565",
            "fax_number": "419-562-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MARION RD",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448203104",
            "telephone_number": "419-562-6565",
            "fax_number": "419-562-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCYRUS FAMILY CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-562-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.