Individual provider Active NPI

Michael Anthony James, D.C.

  • Nutrition Chiropractor
  • Canton, OH
National Provider Identifier
1700802667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
3517 Issued in OH
Practice address
4310 Avondale LN NW
Canton, OH 44708-1670
Phone
(330) 479-9345
Fax
(888) 892-8335
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 3517 OH Primary

Addresses

Primary practice location

4310 Avondale LN NW
Canton, OH 44708-1670

Mailing address

4310 Avondale LN NW
Canton, OH 44708-1670
Phone (330) 479-9345

Other identifiers 1

IdentifierTypeStateIssuer
2619465MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000071 OH Practitioner - Chiropractic 1456315803 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3517OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Holistic Medicine,LLC Nutrition CurrentSince Nov 10, 2006 Accepting new patients
Sikora Chiropractic and Nutrition, LLC Past Accepting new patients

Locations

4310 Avondale Ln NW
Canton, OH 44708
Phone (330) 479-9345

4001 Whipple Ave NW
Lowr
Canton, OH 44718
Phone (330) 479-9345

4001 Whipple Ave NW
Ste LL01
Canton, OH 44718
Phone (330) 479-9345

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700802667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 AVONDALE LN NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081670",
            "telephone_number": "330-479-9345",
            "fax_number": "888-892-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 AVONDALE LN NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081670",
            "telephone_number": "330-479-9345",
            "fax_number": "888-892-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "OH",
            "license": "3517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2619465",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.