Individual provider Active NPI

Charles Emmett Mayabb, D.C.

  • Chiropractor
  • Mount Orab, OH
National Provider Identifier
1740223270
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1515 Issued in OH
Practice address
453 W Main St
Suite a
Mount Orab, OH 45154-9598
Phone
(937) 444-1166
Fax
(937) 444-1166
NPI assigned
Jun 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1515 OH Primary

Addresses

Primary practice location

453 W Main St
Suite a
Mount Orab, OH 45154-9598

Mailing address

130 Foote Ave
Bellevue, KY 41073-1020
Phone (859) 292-0037

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
1515OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthquest of Highland County Inc Chiropractor PastSince Oct 16, 2007 Accepting new patients
Healthquest of Mt Orab Inc Chiropractor PastSince Jun 6, 2005 Accepting new patients

Organizations & group practices 2

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740223270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FOOTE AVE",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731020",
            "telephone_number": "859-292-0037",
            "fax_number": "859-292-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 W MAIN ST",
            "address_2": "SUITE A",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451549598",
            "telephone_number": "937-444-1166",
            "fax_number": "937-444-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYABB",
        "first_name": "CHARLES",
        "middle_name": "EMMETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Orab, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.