NPIMap

Organization Active NPI

North East Ohio Spinal Aid LLC

Doing business as Health Source of Norton

  • Chiropractor
  • Norton, OH
National Provider Identifier
1730351412
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3446 Issued in OH
Legal business name
NORTH EAST OHIO SPINAL AID LLC
Doing business as
Health Source of Norton
Practice address
1309 Norton Ave Suite 120
Norton, OH 44203
Phone
(330) 825-3221
Fax
(330) 825-3224
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Dr. Brian J Miles, DC
Title
Owner President
Phone
(330) 825-3221

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3659 OH
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3446 OH Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X OH

Addresses

Primary practice location

1309 Norton Ave Suite 120
Norton, OH 44203

Mailing address

1309 Norton Ave Suite 120
Norton, OH 44203
Phone (330) 825-3221

Other identifiers 1

IdentifierTypeStateIssuer
2592529MedicaidOH

Other names 1

  • Health Source of Norton Doing business as

National Provider Directory

National Provider Directory

Locations

1309 Norton Ave
Ste 120
Norton, OH 44203
Phone (330) 405-8776

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": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1730351412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 NORTON AVE SUITE 120",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "44203",
            "telephone_number": "330-825-3221",
            "fax_number": "330-825-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 NORTON AVE SUITE 120",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "44203",
            "telephone_number": "330-825-3221",
            "fax_number": "330-825-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST OHIO SPINAL AID LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "330-825-3221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3659",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3446",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2592529",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Source of Norton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.