Organization Active NPI

Brickner Chiropractic Health Center, Inc.

  • Clinic/Center
  • Springboro, OH
National Provider Identifier
1669619995
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1497 Issued in OH
Legal business name
BRICKNER CHIROPRACTIC HEALTH CENTER, INC.
Doing business as
Brickner Chiropractic Health Center, Inc.
Practice address
20 Royal Dr
Springboro, OH 45066-1135
Phone
(937) 748-4533
Fax
(937) 748-4599
NPI assigned
Jan 8, 2009
Last updated
Jan 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Dr. Dennis S Brickner, D.C.NPI 1821163197
Title
Chiropractor
Phone
(937) 748-4533

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
Clinic/Center 261Q00000X 1497 OH Primary

Addresses

Primary practice location

20 Royal Dr
Springboro, OH 45066-1135

Mailing address

20 Royal Dr
Springboro, OH 45066-1135
Phone (937) 748-4533

Other identifiers 1

IdentifierTypeStateIssuer
0657682OtherOHMEDICARE ID - TYPE UNSPECIFIED

Other names 1

  • Brickner Chiropractic Health Center, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090504000068 OH Part B Supplier - Clinic/Group Practice 1153479035 Receives reassigned benefits from 1 practitioner
Practice locations: Springboro, OH

National Provider Directory

National Provider Directory

Locations

20 Royal Dr
Springboro, OH 45066
Phone (937) 748-4533

Practitioners & affiliated clinicians

Practitioners 1

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": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1669619995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ROYAL DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450661135",
            "telephone_number": "937-748-4533",
            "fax_number": "937-748-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ROYAL DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450661135",
            "telephone_number": "937-748-4533",
            "fax_number": "937-748-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICKNER CHIROPRACTIC HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "BRICKNER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "937-748-4533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "1497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  ID - TYPE UNSPECIFIED",
            "identifier": "0657682",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brickner Chiropractic Health Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.