Active NPI
Spine & Neck Injury Center
- Rehabilitation Chiropractor
- Tallmadge, OH
National Provider Identifier
1780217836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- Legal business name
- SPINE & NECK INJURY CENTER
- Practice address
- 30B Northwest Ave Ste 110
Tallmadge, OH 44278-1830 - Phone
- (330) 849-5077
- Fax
- (234) 678-4848
- NPI assigned
- Feb 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alin Mazilu
- Title
- Owner
- Phone
- (330) 849-5077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | Primary |
Addresses
Primary practice location
30B Northwest Ave Ste 110
Tallmadge, OH 44278-1830
Mailing address
30B Northwest Ave Ste 110
Tallmadge, OH 44278-1830
Phone (330) 849-5077
National Provider Directory
National Provider DirectoryLocations
30B Northwest Ave
Ste 110
Tallmadge, OH 44278
Phone (330) 849-5077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581984000000",
"number": "1780217836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30B NORTHWEST AVE STE 110",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442781830",
"telephone_number": "330-849-5077",
"fax_number": "234-678-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30B NORTHWEST AVE STE 110",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442781830",
"telephone_number": "330-849-5077",
"fax_number": "234-678-4848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE & NECK INJURY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-18",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A",
"authorized_official_last_name": "MAZILU",
"authorized_official_first_name": "ALIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-849-5077",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallmadge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.