NPIMap

Organization Active NPI

Active Chiropractic Inc.

  • Chiropractor
  • Millersburg, OH
National Provider Identifier
1760799134
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2021 Issued in OH
Legal business name
ACTIVE CHIROPRACTIC INC.
Practice address
1038 S Washington St
Millersburg, OH 44654-9438
Phone
(330) 763-1343
NPI assigned
Sep 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Jeff M Alexander, DO
Title
Owner
Phone
(330) 763-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2021 OH Primary

Addresses

Primary practice location

1038 S Washington St
Millersburg, OH 44654-9438

Mailing address

1038 S Washington St
Millersburg, OH 44654-9438
Phone (330) 763-1343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101117000814 OH Part B Supplier - Clinic/Group Practice 3577758432 Receives reassigned benefits from 2 practitioners
Practice locations: Millersburg, OH

National Provider Directory

National Provider Directory

Locations

1038 S Washington St
Millersburg, OH 44654
Phone (330) 674-4373

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1760799134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 S WASHINGTON ST",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446549438",
            "telephone_number": "330-763-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 S WASHINGTON ST",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446549438",
            "telephone_number": "330-763-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-763-1343",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.