Individual provider Active NPI

Dennis Michael Brown, D.C.

  • Chiropractor
  • Canton, OH
National Provider Identifier
1720315146
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2481 Issued in OH
Practice address
4537 Everhard Rd NW
Canton, OH 44718
Phone
(330) 526-6146
Fax
(330) 526-6404
NPI assigned
Nov 5, 2009
Last updated
Aug 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2481 OH Primary

Addresses

Primary practice location

4537 Everhard Rd NW
Canton, OH 44718

Mailing address

4537 Everhard Rd NW
Canton, OH 44718-2406
Phone (330) 526-6146

Other identifiers 1

IdentifierTypeStateIssuer
2046771MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2481OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Chiropractic and Wellness, LLC Chiropractor PastSince Apr 15, 2017 Accepting new patients
Cuyahoga Falls Chiropractic Clinic, Inc Chiropractor PastSince Jun 22, 2017 Accepting new patients
Belden Injury Center Chiropractor PastSince Oct 20, 2015 Accepting new patients
Cardinal Medical Provider Inc PastSince Nov 17, 2019 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1720315146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4537 EVERHARD RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182406",
            "telephone_number": "330-526-6146",
            "fax_number": "330-526-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4537 EVERHARD RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-526-6146",
            "fax_number": "330-526-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2046771",
            "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 Aug 15, 2018; 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.