Wolf Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3879 Issued in OH

Legal business name

WOLF CHIROPRACTIC INC

Practice address

1408 Lexington Ave Ste C
Mansfield, OH 44907-2630

Phone

(419) 756-6262

Fax

(419) 774-0592

NPI assigned

Aug 9, 2016

Organization subpart

No

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

Authorized official

Name

Matthew Dale Jennings, D.C.NPI 1124290929

Title

Owner

Phone

(419) 756-6262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Matthew Dale Jennings, DC

  • Chiropractor
  • Mansfield, OH
  • NPI 1124290929
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1932653805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 LEXINGTON AVE STE C",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072630",
            "telephone_number": "419-756-6262",
            "fax_number": "419-774-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 LEXINGTON AVE STE C",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072630",
            "telephone_number": "419-756-6262",
            "fax_number": "419-774-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-756-6262",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Wisenbarger
• Jason Patrick Witt
• Alexis Witte, LISW-S
• Kathryn Wittel
• Nathan Witzky
• Brittany Wolf-Delawder
• Heather Lynn Wolfe
• James R Wolfe, MD
• Shyanne Nicole Wolfe
• Gina Kay Wolff, M.A CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.