Organization Active NPI

Tubb Family Chiropractic

  • Sports Physician Chiropractor
  • Centerville, OH
National Provider Identifier
1932375508
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2075 Issued in OH
Legal business name
TUBB FAMILY CHIROPRACTIC
Practice address
145 W Franklin St
Centerville, OH 45459-4701
Phone
(937) 567-7990
Fax
(937) 567-7990
NPI assigned
May 5, 2008
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Robert I Tubb, D. C., CCSP
Title
Owner
Phone
(937) 567-7990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 2075 OH Primary

Addresses

Primary practice location

145 W Franklin St
Centerville, OH 45459-4701

Mailing address

145 W Franklin St
Centerville, OH 45459-4701
Phone (937) 567-7990

Other identifiers 1

IdentifierTypeStateIssuer
0239549MedicaidOH

National Provider Directory

National Provider Directory

Locations

145 W Franklin St
Dayton, OH 45459
Phone (937) 248-9940

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1932375508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W FRANKLIN ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594701",
            "telephone_number": "937-567-7990",
            "fax_number": "937-567-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W FRANKLIN ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594701",
            "telephone_number": "937-567-7990",
            "fax_number": "937-567-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUBB FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "TUBB",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-567-7990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C., CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "2075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0239549",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.