Organization Active NPI

Everett Health Center Inc

  • Chiropractor
  • Sebring, OH
National Provider Identifier
1750455457
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EVERETT HEALTH CENTER INC
Practice address
115 E Ohio Ave
Sebring, OH 44672-1410
Phone
(330) 938-0001
Fax
(330) 938-2666
NPI assigned
Nov 17, 2006
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Dr. Dwaine Everett, D.C.NPI 1972580553
Title
Owner
Phone
(330) 938-0001

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Physical Therapist 225100000X

Addresses

Primary practice location

115 E Ohio Ave
Sebring, OH 44672-1410

Mailing address

115 E Ohio Ave
Sebring, OH 44672-1410
Phone (330) 938-0001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050128000894 OH Part B Supplier - Clinic/Group Practice 5092765883 Receives reassigned benefits from 1 practitioner
Practice locations: Sebring, OH

National Provider Directory

National Provider Directory

Locations

115 E Ohio Ave
Sebring, OH 44672
Phone (330) 584-6815

Practitioners & affiliated clinicians

Practitioners 4

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1750455457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E OHIO AVE",
            "city": "SEBRING",
            "state": "OH",
            "postal_code": "446721410",
            "telephone_number": "330-938-0001",
            "fax_number": "330-938-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E OHIO AVE",
            "city": "SEBRING",
            "state": "OH",
            "postal_code": "446721410",
            "telephone_number": "330-938-0001",
            "fax_number": "330-938-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "DWAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-938-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.