Northeast Chiropractic Clinic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2091 Issued in OH

Legal business name

NORTHEAST CHIROPRACTIC CLINIC INC.

Practice address

3172 Cleveland Ave
Columbus, OH 43224-3604

Phone

(614) 447-2030

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Obi C Chinakwe, DC, DAAPM, FABDA

Title

Clinic Director

Phone

(614) 447-2030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Obijulu U Chinakwe, DC

  • Chiropractor
  • Columbus, OH
  • NPI 1033423470
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1750468161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3172 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432243604",
            "telephone_number": "614-447-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3172 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432243604",
            "telephone_number": "614-447-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "CHINAKWE",
        "authorized_official_first_name": "OBI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "614-447-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DAAPM, FABDA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0993760",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Columbus, OH
• Providers in Columbus, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.