Allagle Chiropractic Physician Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 4034 Issued in OH

Legal business name

ALLAGLE CHIROPRACTIC PHYSICIAN CLINIC

Practice address

2355 Wapakoneta Ave FRNT
Sidney, OH 45365-1447

Phone

(937) 916-6252

NPI assigned

Nov 8, 2010

Last updated

Nov 8, 2010By 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. Jonathan Reyes Tagle, D.C.NPI 1497912802

Title

President/Chiropractic Physician

Phone

(510) 459-1477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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.

• Jonathan Reyes Tagle, DC

  • Chiropractor
  • Saint Marys, OH
  • NPI 1497912802
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1871894824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 WAPAKONETA AVE FRNT",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651447",
            "telephone_number": "937-916-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 WAPAKONETA AVE FRNT",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651447",
            "telephone_number": "937-916-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAGLE CHIROPRACTIC PHYSICIAN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "TAGLE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "510-459-1477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC 4034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Sidney, OH
• Providers in Sidney, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.