Organization Active NPI

East Toledo Chiropractic Center Inc

  • Chiropractor
  • Toledo, OH
National Provider Identifier
1891946513
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2719 Issued in OH
Legal business name
EAST TOLEDO CHIROPRACTIC CENTER INC
Practice address
431 E Broadway St
Toledo, OH 43605-2354
Phone
(419) 693-0721
Fax
(419) 693-9596
NPI assigned
Oct 1, 2008
Organization subpart
Yes
Parent organization
RICHARD A. DOOM, D.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Dr. Richard Allen Doom, D.C.
Title
Owner
Phone
(419) 693-0721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2719 OH Primary

Addresses

Primary practice location

431 E Broadway St
Toledo, OH 43605-2354

Mailing address

431 E Broadway St
PO Box 50618
Toledo, OH 43605-2354
Phone (419) 693-0721

Other identifiers 1

IdentifierTypeStateIssuer
2090044MedicaidOH

National Provider Directory

National Provider Directory
Part of
East Toledo Chiropracti

Locations

431 E Broadway St
Toledo, OH 43605
Phone (419) 693-0721

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1891946513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E BROADWAY ST",
            "address_2": "PO BOX 50618",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052354",
            "telephone_number": "419-693-0721",
            "fax_number": "419-693-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E BROADWAY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052354",
            "telephone_number": "419-693-0721",
            "fax_number": "419-693-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TOLEDO CHIROPRACTIC CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD A. DOOM, D.C.",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "DOOM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-693-0721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2090044",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.