Chad S. Jacobs, D.C., Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1796 Issued in OH

Legal business name

CHAD S. JACOBS, D.C., INC.

Doing business as

Westerville Family Chiropractic Center

Practice address

528 S Otterbein Ave
Westerville, OH 43081-2913

Phone

(614) 898-9195

Fax

(614) 898-9188

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chad Stuart Jacobs, D.C.NPI 1073669164

Title

President

Phone

(614) 898-9195

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Westerville Family Chiropractic Center Doing business as

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.

• Chad Stuart Jacobs, D.C.

  • Chiropractor
  • Westerville, OH
  • NPI 1073669164
  Authorized official Same address or phone

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710003199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 S OTTERBEIN AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812913",
            "telephone_number": "614-898-9195",
            "fax_number": "614-898-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 S OTTERBEIN AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812913",
            "telephone_number": "614-898-9195",
            "fax_number": "614-898-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD S. JACOBS, D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-898-9195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "299621907-00",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0869832",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1073669164",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westerville Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.