Organization Active NPI

Spine & Neck Injury Center

  • Rehabilitation Chiropractor
  • Tallmadge, OH
National Provider Identifier
1780217836
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
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

Updated by the provider on Feb 18, 2020

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)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.