NPIMap

Organization Active NPI

Bunker Hill Chiropractic LLC

  • Chiropractor
  • Millersburg, OH
National Provider Identifier
1679832430
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
146 Issued in OH
Legal business name
BUNKER HILL CHIROPRACTIC LLC
Practice address
4333 County Road 207
Millersburg, OH 44654-9127
Phone
(330) 907-9101
NPI assigned
May 14, 2012
Last updated
May 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Dr. Russel Pavkov, DCNPI 1417216318
Title
MBR
Phone
(330) 907-9101

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 146 OH Primary

Addresses

Primary practice location

4333 County Road 207
Millersburg, OH 44654-9127

Mailing address

4333 County Road 207
Millersburg, OH 44654-9127
Phone (330) 907-9101

National Provider Directory

National Provider Directory

Locations

4333 County Road 207
Millersburg, OH 44654
Phone (330) 907-9101

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": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1679832430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 COUNTY ROAD 207",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446549127",
            "telephone_number": "330-907-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 COUNTY ROAD 207",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446549127",
            "telephone_number": "330-907-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNKER HILL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "PAVKOV",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "330-907-9101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.