Charles Bruce Irvine, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2728 Issued in OH

Practice address

1219 County Line Road
Suite C
Westerville, OH 43081-6001

Phone

(614) 839-2225

Fax

(614) 891-8875

NPI assigned

Jan 17, 2007

Last updated

Oct 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1912059528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 COUNTY LINE ROAD",
            "address_2": "SUITE C",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430816001",
            "telephone_number": "614-839-2225",
            "fax_number": "614-891-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 COUNTY LINE ROAD",
            "address_2": "SUITE C",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430816001",
            "telephone_number": "614-839-2225",
            "fax_number": "614-891-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "CHARLES",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2255-018",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000122733",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrity Home Health Care, LLC
• Interactive Senior Care LLC
• Interactive Senior Care, Inc. (Comfort Keepers)
• Alexis Intrater
• Irvine Chiropractic LLC
• Steven Bruce Irvine, D.C.
• Michelle M Irwin, LPN
• Frank Edward Isabelle, MD
• Ahmed A Issack, RN, BSN,CNP
• Yasmeen Itayen, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.