Organization Active NPI

Chiropractic and Functional Neurology Center LLC

  • Neurology Chiropractor
  • Warren, OH
National Provider Identifier
1750893327
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
Legal business name
CHIROPRACTIC AND FUNCTIONAL NEUROLOGY CENTER LLC
Practice address
525 Niles Cortland Rd SE
Warren, OH 44484-2434
Phone
(330) 647-7373
Fax
(234) 223-2988
NPI assigned
Nov 3, 2017
Last updated
Mar 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Dr. Angela Natoli, DCNPI 1447623905
Title
Doctor of Chiropractic
Phone
(330) 647-7373

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
Neurology Chiropractor 111NN0400X NU Primary

Addresses

Primary practice location

525 Niles Cortland Rd SE
Warren, OH 44484-2434

Mailing address

525 Niles Cortland Rd SE
Warren, OH 44484-2434
Phone (330) 647-7373

Other practice location 1

8345 E Market St Ste C
Warren, OH 44484-2376
Phone (330) 647-7373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171218002743 OH Part B Supplier - Clinic/Group Practice 8426316571 Receives reassigned benefits from 1 practitioner
Practice locations: Warren, OH

National Provider Directory

National Provider Directory

Locations

525 Niles Cortland Rd SE
Warren, OH 44484
Phone (234) 255-3485

8345 E Market St
Ste C
Warren, OH 44484
Phone (330) 550-0727

Practitioners & affiliated clinicians

Practitioners 6

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": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1750893327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 NILES CORTLAND RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842434",
            "telephone_number": "330-647-7373",
            "fax_number": "234-223-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 NILES CORTLAND RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842434",
            "telephone_number": "330-647-7373",
            "fax_number": "234-223-2988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8345 E Market St Ste C",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444842376",
            "country_code": "US",
            "telephone_number": "330-647-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHIROPRACTIC AND FUNCTIONAL NEUROLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "NATOLI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "330-647-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.