Organization Active NPI

Heritage Chiropractic Health Center Inc

  • Chiropractor
  • Canal Fulton, OH
National Provider Identifier
1730301904
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1298 Issued in OH
Legal business name
HERITAGE CHIROPRACTIC HEALTH CENTER INC
Practice address
2445 South Locust St
Canal Fulton, OH 44614
Phone
(330) 854-4544
Fax
(330) 854-6571
NPI assigned
May 3, 2007
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. James Edwin Knight, DCNPI 1902086622
Title
President
Phone
(330) 854-4544

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1298 OH Primary

Addresses

Primary practice location

2445 South Locust St
Canal Fulton, OH 44614

Mailing address

2445 South Locust St
Canal Fulton, OH 44614
Phone (330) 854-4544

Other identifiers 1

IdentifierTypeStateIssuer
350026356OtherMEDICARE PALMETTO GBA RAI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080423000082 OH Part B Supplier - Clinic/Group Practice 8224116819 Receives reassigned benefits from 1 practitioner
Practice locations: Canal Fulton, OH

National Provider Directory

National Provider Directory

Locations

2445 Locust St S
Canal Fulton, OH 44614
Phone (216) 343-2621

Practitioners & affiliated clinicians

Practitioners 2

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1730301904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 SOUTH LOCUST ST",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "44614",
            "telephone_number": "330-854-4544",
            "fax_number": "330-854-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 SOUTH LOCUST ST",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "44614",
            "telephone_number": "330-854-4544",
            "fax_number": "330-854-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CHIROPRACTIC HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-854-4544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PALMETTO GBA RAI",
            "identifier": "350026356",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Fulton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.