NPIMap

Organization Active NPI

Buckeye Chiropractic and Rehab Inc

  • Chiropractor
  • Lancaster, OH
National Provider Identifier
1669671509
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1714 Issued in OH
Legal business name
BUCKEYE CHIROPRACTIC AND REHAB INC
Practice address
1619 Victor Rd NW
Lancaster, OH 43130-7883
Phone
(740) 653-5390
Fax
(740) 653-2808
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Dr. Todd B Walters, DC
Title
Owner
Phone
(740) 653-5390

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1714 OH Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 001396 OH

Addresses

Primary practice location

1619 Victor Rd NW
Lancaster, OH 43130-7883

Mailing address

1619 Victor Rd NW
Lancaster, OH 43130-7883
Phone (740) 653-5390

Other identifiers 1

IdentifierTypeStateIssuer
0188103MedicaidOH

National Provider Directory

National Provider Directory

Locations

1619 Victor Rd NW
Lancaster, OH 43130
Phone (740) 653-5390

Practitioners & affiliated clinicians

Practitioners 3

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1669671509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 VICTOR RD NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431307883",
            "telephone_number": "740-653-5390",
            "fax_number": "740-653-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 VICTOR RD NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431307883",
            "telephone_number": "740-653-5390",
            "fax_number": "740-653-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE CHIROPRACTIC AND REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-653-5390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1714",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "001396",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0188103",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.