Jack D Adrian

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

912 Issued in OH

Legal business name

JACK D ADRIAN

Doing business as

Clear Choice Chiropractic

Practice address

2850 S. County Road 25a
Troy, OH 45373

Phone

(937) 339-5556

Fax

(937) 339-5550

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Jack D Adrian, D.C.

Title

Owner

Phone

(937) 339-5556

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Clear Choice Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1902004310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 S. COUNTY ROAD 25A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-339-5556",
            "fax_number": "937-339-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S. COUNTY ROAD 25A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-339-5556",
            "fax_number": "937-339-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK D ADRIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "ADRIAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-339-5556",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0486871",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Choice Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.