NPIMap

Organization Active NPI

Fackler Family Chiropractic, LLC

  • Chiropractor
  • Shelby, OH
National Provider Identifier
1972788156
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2289 Issued in OH
Legal business name
FACKLER FAMILY CHIROPRACTIC, LLC
Practice address
177 W Main St
Shelby, OH 44875-1439
Phone
(419) 342-3473
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Dr. Patricia Mariann Carroll-Fackler, D.C.
Title
Sole Member
Phone
(419) 342-3473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2289 OH Primary

Addresses

Primary practice location

177 W Main St
Shelby, OH 44875-1439

Mailing address

177 W Main St
Shelby, OH 44875-1439
Phone (419) 342-3473

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1972788156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 W MAIN ST",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751439",
            "telephone_number": "419-342-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 W MAIN ST",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751439",
            "telephone_number": "419-342-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACKLER FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "CARROLL-FACKLER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MARIANN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "419-342-3473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, OH

Sources for this page

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