Organization Active NPI

Chiropractic Physicians Group, Inc.

  • Chiropractor
  • Canton, OH
National Provider Identifier
1659550382
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2865 Issued in OH
Legal business name
CHIROPRACTIC PHYSICIANS GROUP, INC.
Practice address
4065 Fulton Dr NW
Canton, OH 44718-2817
Phone
(330) 493-9340
Fax
(330) 493-9681
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Monica Marta Miklo, D.C.NPI 1124057401
Title
President
Phone
(330) 493-9340

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2865 OH Primary

Addresses

Primary practice location

4065 Fulton Dr NW
Canton, OH 44718-2817

Mailing address

4065 Fulton Dr NW
Canton, OH 44718-2817
Phone (330) 493-9340

Other identifiers 1

IdentifierTypeStateIssuer
2165857MedicaidOH

National Provider Directory

National Provider Directory

Locations

4065 Fulton Dr NW
Canton, OH 44718
Phone (330) 493-9340

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": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1659550382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182817",
            "telephone_number": "330-493-9340",
            "fax_number": "330-493-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182817",
            "telephone_number": "330-493-9340",
            "fax_number": "330-493-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC PHYSICIANS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "MIKLO",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "MARTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-493-9340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2165857",
            "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 Oct 30, 2007; 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.