NPIMap

Organization Active NPI

Pruni Chiropractic LLC

  • Chiropractor
  • Dover, OH
National Provider Identifier
1962890400
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3080 Issued in OH
Legal business name
PRUNI CHIROPRACTIC LLC
Practice address
3026 N Wooster Ave
Dover, OH 44622-9469
Phone
(330) 364-4400
Fax
(330) 364-1407
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Mrs. Karen S Baker
Title
Manager
Phone
(330) 364-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3080 OH Primary

Addresses

Primary practice location

3026 N Wooster Ave
Dover, OH 44622-9469

Mailing address

3026 N Wooster Ave
Dover, OH 44622-9469
Phone (330) 364-4400

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": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1962890400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446229469",
            "telephone_number": "330-364-4400",
            "fax_number": "330-364-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446229469",
            "telephone_number": "330-364-4400",
            "fax_number": "330-364-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUNI CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "330-364-4400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.