NPIMap

Organization Active NPI

All Star Chiropractic LLC

  • Chiropractor
  • Toledo, OH
National Provider Identifier
1760750749
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4002 Issued in OH
Legal business name
ALL STAR CHIROPRACTIC LLC
Practice address
4207 Monroe St
Toledo, OH 43606-1975
Phone
(734) 790-0872
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Edward G Schwartz, DC
Title
Owner
Phone
(734) 790-0872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4002 OH Primary

Addresses

Primary practice location

4207 Monroe St
Toledo, OH 43606-1975

Mailing address

1870 Roman Dr
Monroe, MI 48162-4165
Phone (734) 790-0872

Other identifiers 1

IdentifierTypeStateIssuer
3046519MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1760750749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 ROMAN DR",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624165",
            "telephone_number": "734-790-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061975",
            "telephone_number": "734-790-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STAR CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-790-0872",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3046519",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.