Village Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1348 Issued in OH

Legal business name

VILLAGE CHIROPRACTIC, INC.

Practice address

5850 Boymel Dr
Unit 2
Fairfield, OH 45014-8529

Phone

(513) 870-9559

Fax

(513) 870-9593

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Gary Berner, D.C.

Title

President

Phone

(513) 870-9559

Specialties & licenses 1

Addresses

Other names 1

• N/a Other name

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1902171184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 BOYMEL DR",
            "address_2": "UNIT 2",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450148529",
            "telephone_number": "513-870-9559",
            "fax_number": "513-870-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 BOYMEL DR",
            "address_2": "UNIT 2",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450148529",
            "telephone_number": "513-870-9559",
            "fax_number": "513-870-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "BERNER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-870-9559",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/a",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.