Organization Active NPI

Tri-Village Chiropractic, Inc

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1932524964
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1915 Issued in OH
Legal business name
TRI-VILLAGE CHIROPRACTIC, INC
Practice address
1400 W 5TH Ave
Columbus, OH 43212-2901
Phone
(614) 486-6755
Fax
(614) 486-6781
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Beau Lawyer, D.C.NPI 1336182138
Title
President
Phone
(614) 486-6755

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1915 OH Primary

Addresses

Primary practice location

1400 W 5TH Ave
Columbus, OH 43212-2901

Mailing address

1400 W 5TH Ave
Columbus, OH 43212-2901
Phone (614) 486-6755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100924001369 OH Part B Supplier - Clinic/Group Practice 8325164569 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Columbus, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

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": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1932524964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 5TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122901",
            "telephone_number": "614-486-6755",
            "fax_number": "614-486-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 5TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122901",
            "telephone_number": "614-486-6755",
            "fax_number": "614-486-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-VILLAGE CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "LAWYER",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-486-6755",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.