Organization Active NPI

Ironton Park Avenue Chiropractic Center, Inc.

  • Chiropractor
  • Ironton, OH
National Provider Identifier
1831303288
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IRONTON PARK AVENUE CHIROPRACTIC CENTER, INC.
Practice address
901 Park Ave
Ironton, OH 45638-1529
Phone
(740) 532-8888
Fax
(740) 532-1796
NPI assigned
May 9, 2007
Last updated
Oct 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Mrs. Julie A. Leist
Title
Manager
Phone
(740) 622-7108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Neurology Physician 2084N0400X

Addresses

Primary practice location

901 Park Ave
Ironton, OH 45638-1529

Mailing address

901 Park Ave
Ironton, OH 45638-1529
Phone (740) 532-8888

Other identifiers 1

IdentifierTypeStateIssuer
0052323MedicaidOH

National Provider Directory

National Provider Directory

Locations

719 Chillicothe St
Portsmouth, OH 45662
Phone (740) 353-9355

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1831303288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PARK AVE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381529",
            "telephone_number": "740-532-8888",
            "fax_number": "740-532-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PARK AVE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381529",
            "telephone_number": "740-532-8888",
            "fax_number": "740-532-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONTON PARK AVENUE CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "LEIST",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "740-622-7108",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052323",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.