Nicholas Manzanares, DC
Individual provider Active NPI Chiropractor · Bellbrook, OH
NPI 1780337147 · NPPES record last updated Jan 26, 2022
Key facts
- NPI
- 1780337147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC-05155 (OH)
- Practice address
- 4299 Sugarcreek Dr
Bellbrook, OH 45305-1330 - Phone
- (937) 848-8500
- NPI assigned
- Jan 26, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-05155 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyline Chiropractic | Chiropractor | Current | Accepting new patients |
| Integrative Health and Sports Performance, LLC | Chiropractor | Current |
Accepting new patients |
| Dr. Tyler T Lanning DC LLC | Chiropractor | Past |
Accepting new patients |
Locations
4299 Sugarcreek Dr
Bellbrook, OH 45305
Phone (937) 848-8500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-05155 | OH | Yes |
Addresses
Primary practice location
4299 Sugarcreek Dr
Bellbrook, OH 45305-1330
Mailing address
2600 Falling Leaf CT
Fairborn, OH 45324-2688
Phone (850) 420-7643
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | manager@ihsp-oh.com |
Other providers in Bellbrook, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.