Core Care Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CORE CARE CHIROPRACTIC, LLC

Practice address

1670 E Mansfield St
Bucyrus, OH 44820-2014

Phone

(419) 562-4300

Fax

(419) 562-4303

NPI assigned

Jul 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth R Miller Jr., D.C.NPI 1285738666

Title

President

Phone

(419) 562-4300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Ross Miller Jr., D.C.

  • Chiropractor
  • Bucyrus, OH
  • NPI 1285738666

  OH

  Medicare reassignment Care Compare group Authorized official
• Caleb William Miller, DC

  • Chiropractor
  • Galion, OH
  • NPI 1952873069

  OH

  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1689236325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 E MANSFIELD ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202014",
            "telephone_number": "419-562-4300",
            "fax_number": "419-562-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 E MANSFIELD ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202014",
            "telephone_number": "419-562-4300",
            "fax_number": "419-562-4303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "692 Portland Way N",
            "address_purpose": "LOCATION",
            "city": "Galion",
            "state": "OH",
            "postal_code": "448331120",
            "country_code": "US",
            "telephone_number": "567-393-9037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORE CARE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-562-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Counseling Services, Inc.
• Community Counseling Services, Inc.
• Kelly A Conn, LISW
• Glen E Cooke, M.D.
• Kristi Michelle Copus
• Aric Jason Cornette
• Robert Paul Cox, D.D.S.
• Crawford County
• Crawford County Board of MRDD
• Crawford County Council on Aging, Inc.

• All providers in Bucyrus, OH
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.