NPIMap

Organization Active NPI

Medina Family Chiropractic Center Inc.

  • Chiropractor
  • Medina, OH
National Provider Identifier
1871562611
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2403 Issued in OH
Legal business name
MEDINA FAMILY CHIROPRACTIC CENTER INC.
Practice address
5019 Victor Dr.
Suite a
Medina, OH 44256
Phone
(330) 722-7709
Fax
(330) 723-0850
NPI assigned
Mar 15, 2006
Last updated
Feb 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Dr. James Andrew Kendel, D.ONPI 1194794339
Title
Chiropractor/Owner
Phone
(330) 722-7709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2403 OH Primary

Addresses

Primary practice location

5019 Victor Dr.
Suite a
Medina, OH 44256

Mailing address

5019 Victor Dr.
Suite a
Medina, OH 44256
Phone (330) 722-7709

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090826000085 OH Part B Supplier - Clinic/Group Practice 9335294461 Receives reassigned benefits from 2 practitioners
Practice locations: Medina, OH

National Provider Directory

National Provider Directory

Locations

5019 Victor Dr
Ste A
Medina, OH 44256
Phone (330) 722-7709

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1871562611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 VICTOR DR.",
            "address_2": "SUITE A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-722-7709",
            "fax_number": "330-723-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 VICTOR DR.",
            "address_2": "SUITE A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-722-7709",
            "fax_number": "330-723-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA FAMILY CHIROPRACTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "KENDEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "330-722-7709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.