Organization Active NPI

Novicky Chiropractic, Inc.

  • Rehabilitation Chiropractor
  • Youngstown, OH
National Provider Identifier
1679625768
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2138 Issued in OH
Legal business name
NOVICKY CHIROPRACTIC, INC.
Practice address
4247 Belmont Ave Ste 1
Youngstown, OH 44505-1003
Phone
(330) 759-9912
Fax
(990) 759-9914
NPI assigned
Jan 17, 2007
Last updated
Nov 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. Steven D Novicky, DC, DACRB, CIMENPI 1568520815
Title
Owner
Phone
(330) 759-9912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 2138 OH Primary

Addresses

Primary practice location

4247 Belmont Ave Ste 1
Youngstown, OH 44505-1003

Mailing address

5850 Deer Spring Run
Canfield, OH 44406-7613
Phone (330) 533-2882

Other identifiers 1

IdentifierTypeStateIssuer
2138OtherOHLICENSE

National Provider Directory

National Provider Directory

Locations

4247 Belmont Ave
Ste 1
Youngstown, OH 44505
Phone (303) 759-9912

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1679625768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 DEER SPRING RUN",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444067613",
            "telephone_number": "330-533-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 BELMONT AVE STE 1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051003",
            "telephone_number": "330-759-9912",
            "fax_number": "990-759-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVICKY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "NOVICKY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-759-9912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DACRB, CIME"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "2138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2138",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.