Organization Active NPI

Center for Holistic Medicine,LLC

  • Nutrition Chiropractor
  • Canton, OH
National Provider Identifier
1912930389
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
3528 Issued in OH
Legal business name
CENTER FOR HOLISTIC MEDICINE,LLC
Practice address
4001 Whipple Ave NW
Ste LL01
Canton, OH 44718
Phone
(330) 479-9345
Fax
(234) 458-0920
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Mr. Nathan Douglas Sikora, DCNPI 1699791582
Title
Owner
Phone
(330) 479-9345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 3528 OH Primary

Addresses

Primary practice location

4001 Whipple Ave NW
Ste LL01
Canton, OH 44718

Mailing address

4001 Whipple Ave NW
Ste LL01
Canton, OH 44718
Phone (330) 479-9345

Other names 1

  • Holistic Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070103000065 OH Part B Supplier - Clinic/Group Practice 1052311743 Receives reassigned benefits from 2 practitioners
Practice locations: Canton, OH

National Provider Directory

National Provider Directory

Locations

4001 Whipple Ave NW
Lowr
Canton, OH 44718
Phone (330) 479-9345

4001 Whipple Ave NW
Ste LL01
Canton, OH 44718
Phone (330) 479-9345

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1912930389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 WHIPPLE AVE NW",
            "address_2": "STE LL01",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-479-9345",
            "fax_number": "234-458-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 WHIPPLE AVE NW",
            "address_2": "STE LL01",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-479-9345",
            "fax_number": "234-458-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HOLISTIC MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "SIKORA",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-479-9345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "OH",
            "license": "3528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.