Organization Active NPI

Optimum Health Chiropractic, LLC

  • Chiropractor
  • Brunswick, OH
National Provider Identifier
1801080924
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OPTIMUM HEALTH CHIROPRACTIC, LLC
Practice address
4036 Center Road
Suite a
Brunswick, OH 44212-5698
Phone
(330) 460-5151
Fax
(866) 843-1345
NPI assigned
Aug 31, 2007
Last updated
Mar 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Dr. Janet Nicol Husser, D.C.NPI 1326247941
Title
Owner
Phone
(330) 461-0366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

4036 Center Road
Suite a
Brunswick, OH 44212-5698

Mailing address

4036 Center Road
Suite a
Brunswick, OH 44212-5698
Phone (330) 460-5151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000563 OH Part B Supplier - Clinic/Group Practice 0648351163 Receives reassigned benefits from 1 practitioner
Practice locations: Brunswick, OH

National Provider Directory

National Provider Directory

Locations

4036 Center Rd
#A
Brunswick, OH 44212
Phone (330) 460-5151

4070 Center Rd
Brunswick, OH 44212
Phone (330) 460-5151

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1801080924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 CENTER ROAD",
            "address_2": "SUITE A",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442125698",
            "telephone_number": "330-460-5151",
            "fax_number": "866-843-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 CENTER ROAD",
            "address_2": "SUITE A",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442125698",
            "telephone_number": "330-460-5151",
            "fax_number": "866-843-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "HUSSER",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "NICOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-461-0366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.