NPIMap

Organization Active NPI

Jocdoc Inc

  • Chiropractor
  • Canton, OH
National Provider Identifier
1841365004
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1232 Issued in OH
Legal business name
JOCDOC INC
Practice address
6310 Market Ave
Canton, OH 44721-4472
Phone
(330) 768-7737
Fax
(330) 494-8195
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Denise Mayle
Title
Office Manager
Phone
(330) 768-7737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1232 OH Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2063 OH

Addresses

Primary practice location

6310 Market Ave
Canton, OH 44721-4472

Mailing address

6310 Market Ave
Canton, OH 44721
Phone (330) 768-7737

Other practice location 1

2966 Harrisburg Rd NE
Canton, OH 44705-2562
Phone (330) 452-3335

Other identifiers 1

IdentifierTypeStateIssuer
0621527MedicaidOH

Other names 1

  • JOCDOC INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120204000005 OH Part B Supplier - Clinic/Group Practice 9133386048 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, OH

National Provider Directory

National Provider Directory

Locations

2966 Harrisburg Rd NE
Canton, OH 44705
Phone (330) 452-3335

Practitioners & affiliated clinicians

Practitioners 5

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1841365004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 MARKET AVE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44721",
            "telephone_number": "330-768-7737",
            "fax_number": "330-494-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 MARKET AVE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447214472",
            "telephone_number": "330-768-7737",
            "fax_number": "330-494-8195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2966 HARRISBURG RD NE",
            "address_purpose": "LOCATION",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447052562",
            "country_code": "US",
            "telephone_number": "330-452-3335",
            "fax_number": "330-452-9636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOCDOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "MAYLE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-768-7737"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1232",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2063",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0621527",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOCDOC INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.