American Family Chiropractic Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2041 Issued in OH

Legal business name

AMERICAN FAMILY CHIROPRACTIC CENTER, INC.

Practice address

5248 Courseview Dr
Mason, OH 45040-2302

Phone

(513) 398-6300

Fax

(513) 398-6363

NPI assigned

Oct 18, 2010

Last updated

Sep 27, 2011By 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

Matthew Scott Hakes, D.C.

Title

President

Phone

(513) 398-6300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1861702367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5248 COURSEVIEW DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402302",
            "telephone_number": "513-398-6300",
            "fax_number": "513-398-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5248 COURSEVIEW DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402302",
            "telephone_number": "513-398-6300",
            "fax_number": "513-398-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FAMILY CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "HAKES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-398-6300",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Mason, OH
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• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.