Organization Active NPI

Polaris Family and Sport Chiropractic Inc

  • Chiropractor
  • Lewis Center, OH
National Provider Identifier
1710027651
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
POLARIS FAMILY AND SPORT CHIROPRACTIC INC
Practice address
9383 S Old State Rd
Lewis Center, OH 43035-8448
Phone
(614) 846-2225
Fax
(614) 846-8300
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Dr. Randall William Huffer, D.CNPI 1255349155
Title
Owner
Phone
(614) 846-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X

Addresses

Primary practice location

9383 S Old State Rd
Lewis Center, OH 43035-8448

Mailing address

9383 S Old State Rd
Lewis Center, OH 43035-8448
Phone (614) 846-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211000670 OH Part B Supplier - Clinic/Group Practice 5799679668 Receives reassigned benefits from 1 practitioner
Practice locations: Lewis Center, OH

National Provider Directory

National Provider Directory

Locations

9383 S Old State Rd
Lewis Center, OH 43035
Phone (614) 846-2225

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1710027651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9383 S OLD STATE RD",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358448",
            "telephone_number": "614-846-2225",
            "fax_number": "614-846-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9383 S OLD STATE RD",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358448",
            "telephone_number": "614-846-2225",
            "fax_number": "614-846-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS FAMILY AND SPORT CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "HUFFER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-846-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.