Organization Active NPI

Norwalk Family Chiropractic

  • Independent Medical Examiner Chiropractor
  • Norwalk, OH
National Provider Identifier
1710102702
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
3385 Issued in OH
Legal business name
NORWALK FAMILY CHIROPRACTIC
Practice address
35 E Water St
Norwalk, OH 44857-2152
Phone
(419) 663-9500
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Darrell Witherell, D.C.
Title
Owner
Phone
(419) 663-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X 3385 OH Primary

Addresses

Primary practice location

35 E Water St
Norwalk, OH 44857-2152

Mailing address

35 E Water St
Norwalk, OH 44857-2152
Phone (419) 663-9500

Other identifiers 2

IdentifierTypeStateIssuer
000000331582OtherOHANTHEM
539486817001OtherOHMEDICAL MUTUAL

National Provider Directory

National Provider Directory

Locations

35 E Water St
Norwalk, OH 44857
Phone (419) 483-1001

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710102702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E WATER ST",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572152",
            "telephone_number": "419-663-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E WATER ST",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572152",
            "telephone_number": "419-663-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWALK FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITHERELL",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-663-9500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "OH",
            "license": "3385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000331582",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "539486817001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

  • 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.