Organization Active NPI

Buckeye Sports and Family Chiropractice Center, Inc

  • Chiropractor
  • Marysville, OH
National Provider Identifier
1801923669
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BUCKEYE SPORTS AND FAMILY CHIROPRACTICE CENTER, INC
Practice address
16705 Square Dr
Marysville, OH 43040-8476
Phone
(937) 642-4400
Fax
(937) 642-4443
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Authorized official

Name
Dr. Charita N Cooper, D,C.
Title
Chiropractor
Phone
(937) 642-4400

Specialties & licenses 1

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

Addresses

Primary practice location

16705 Square Dr
Marysville, OH 43040-8476

Mailing address

16705 Square Dr
Marysville, OH 43040-8722
Phone (937) 642-4400

National Provider Directory

National Provider Directory

Locations

16705 Square Dr
Marysville, OH 43040
Phone (937) 400-2011

Practitioners & affiliated clinicians

Practitioners 8

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1801923669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16705 SQUARE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408722",
            "telephone_number": "937-642-4400",
            "fax_number": "937-642-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16705 SQUARE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408476",
            "telephone_number": "937-642-4400",
            "fax_number": "937-642-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE SPORTS AND FAMILY CHIROPRACTICE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CHARITA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "937-642-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.