Chiropractic Center of Northfield LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1215 Issued in OH

Legal business name

CHIROPRACTIC CENTER OF NORTHFIELD LLC

Practice address

9309 Olde 8 Rd
Northfield, OH 44067-2060

Phone

(330) 467-6100

Fax

(330) 467-1792

NPI assigned

Apr 22, 2015

Last updated

Feb 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lewis Edmond Bennett II, D.C.NPI 1205905536

Title

Owner

Phone

(330) 467-6100

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

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.

• Lewis Edmond Bennett II, D.C.

  • Sports Physician Chiropractor
  • Northfield, OH
  • NPI 1205905536
  Medicare reassignment NPD Authorized official
• Stephen William Esdinsky, D.C.

  • Chiropractor
  • Northfield, OH
  • NPI 1619211372
  NPD (past)
• Matthew Widlits, LMT

  • Massage Therapist
  • Northfield, OH
  • NPI 1295423135
  NPD (past)

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1851788368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 OLDE 8 RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672060",
            "telephone_number": "330-467-6100",
            "fax_number": "330-467-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 OLDE 8 RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672060",
            "telephone_number": "330-467-6100",
            "fax_number": "330-467-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CENTER OF NORTHFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "EDMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-467-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "1215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "BE0582602 T48393",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0619898",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Northfield, OH
• Providers in Northfield, OH by specialty
• Sports Physician Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.