Organization Active NPI

Mansfield Accident & Injury Center, LLC

  • Chiropractor
  • Mansfield, OH
National Provider Identifier
1831815695
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MANSFIELD ACCIDENT & INJURY CENTER, LLC
Practice address
432 S Main St
Mansfield, OH 44907-5002
Phone
(419) 522-4672
NPI assigned
Oct 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Mrs. Donna Caudill
Title
Treasurer
Phone
(740) 302-2744

Specialties & licenses 1

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

Addresses

Primary practice location

432 S Main St
Mansfield, OH 44907-5002

Mailing address

128 Southern Manor Rd
Vanceburg, KY 41179-7511
Phone (740) 302-2744

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcaudill@ironton-integrated-health.com Direct

National Provider Directory

National Provider Directory

Locations

432 S Main St
Mansfield, OH 44907
Phone (419) 522-4672

Practitioners & affiliated clinicians

Practitioners 1

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": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1831815695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 SOUTHERN MANOR RD",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411797511",
            "telephone_number": "740-302-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 S MAIN ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449075002",
            "telephone_number": "419-522-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD ACCIDENT & INJURY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "740-302-2744",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcaudill@ironton-integrated-health.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "432 S Main St",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449075002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.