NPIMap

Organization Active NPI

Primal Holdings, LLC

  • Chiropractor
  • Akron, OH
National Provider Identifier
1720329741
Registry record updated Mar 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4124 Issued in OH
Legal business name
PRIMAL HOLDINGS, LLC
Practice address
1499 S Hawkins Ave
Akron, OH 44320-3416
Phone
(330) 664-9252
Fax
(330) 773-3698
NPI assigned
Mar 15, 2013
Last updated
Mar 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2013

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

Authorized official

Name
Raun D Skyrm
Title
Administration
Phone
(330) 773-3544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4124 OH Primary

Addresses

Primary practice location

1499 S Hawkins Ave
Akron, OH 44320-3416

Mailing address

1499-R S. Hawkins Ave
Akron, OH 44320
Phone (330) 664-9252

National Provider Directory

National Provider Directory

Locations

1499 S Hawkins Ave
Akron, OH 44320
Phone (330) 664-9252

1499 S Hawkins Ave
#R
Akron, OH 44320

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363392000000",
    "number": "1720329741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499-R S. HAWKINS AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44320",
            "telephone_number": "330-664-9252",
            "fax_number": "330-773-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 S HAWKINS AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443203416",
            "telephone_number": "330-664-9252",
            "fax_number": "330-773-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAL HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-16",
        "status": "A",
        "authorized_official_last_name": "SKYRM",
        "authorized_official_first_name": "RAUN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "330-773-3544"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2013; 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.