Organization Active NPI

Spine Center Chiropractic LLC

  • Chiropractor
  • West Union, OH
National Provider Identifier
1770797227
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3212 Issued in OH
Legal business name
SPINE CENTER CHIROPRACTIC LLC
Practice address
107 N Wilson Dr
West Union, OH 45693-1560
Phone
(937) 544-5202
Fax
(937) 544-8148
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Authorized official

Name
Dr. Joshua R Horn, DCNPI 1942367537
Title
Owner
Phone
(937) 544-5202

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3212 OH Primary

Addresses

Primary practice location

107 N Wilson Dr
West Union, OH 45693-1560

Mailing address

107 N Wilson Dr
West Union, OH 45693-1560
Phone (937) 544-5202

Other identifiers 2

IdentifierTypeStateIssuer
1770797227OtherOHGROUP NPI
2296000MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041109000133 OH Part B Supplier - Clinic/Group Practice 2466415625 Receives reassigned benefits from 1 practitioner
Practice locations: West Union, OH

National Provider Directory

National Provider Directory

Locations

129 W Main St
West Union, OH 45693
Phone (740) 353-2211

Practitioners & affiliated clinicians

Practitioners 3

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1770797227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N WILSON DR",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456931560",
            "telephone_number": "937-544-5202",
            "fax_number": "937-544-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N WILSON DR",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456931560",
            "telephone_number": "937-544-5202",
            "fax_number": "937-544-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CENTER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-544-5202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1770797227",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2296000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.