Organization Active NPI

Urgent Care and Medical Chiropractic Rehab, Inc

  • Chiropractor
  • Salem, OH
National Provider Identifier
1902970528
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
URGENT CARE AND MEDICAL CHIROPRACTIC REHAB, INC
Practice address
568 East State Street
Salem, OH 44460-2933
Phone
(330) 337-1441
Fax
(330) 337-1038
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Michael Daley, DC
Title
Owner/Chiropractor
Phone
(330) 745-2033

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 626 OH
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

568 East State Street
Salem, OH 44460-2933

Mailing address

637 W Tuscarawas Ave
Barberton, OH 44203-2430
Phone (330) 745-2033

Other identifiers 1

IdentifierTypeStateIssuer
2310172MedicaidOH

Other names 1

  • Salem Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

637 W Tuscarawas Ave
Barberton, OH 44203
Phone (330) 745-2033

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1902970528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 W TUSCARAWAS AVE",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442032430",
            "telephone_number": "330-745-2033",
            "fax_number": "330-745-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 EAST STATE STREET",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602933",
            "telephone_number": "330-337-1441",
            "fax_number": "330-337-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE AND MEDICAL CHIROPRACTIC REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "DALEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "330-745-2033",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "626",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2310172",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.