Organization Active NPI

Olar Family Chiropractic, Inc

  • Chiropractor
  • Mansfield, OH
National Provider Identifier
1972880854
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4125 Issued in OH
Legal business name
OLAR FAMILY CHIROPRACTIC, INC
Practice address
1115A Lexington Ave
Mansfield, OH 44907-2251
Phone
(419) 756-7000
Fax
(419) 756-3779
NPI assigned
Nov 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Jean Manning
Title
Clerical
Phone
(330) 337-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4125 OH Primary

Addresses

Primary practice location

1115A Lexington Ave
Mansfield, OH 44907-2251

Mailing address

1115A Lexington Ave
Mansfield, OH 44907-2251
Phone (419) 756-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120119000738 OH Part B Supplier - Clinic/Group Practice 3476720210 Receives reassigned benefits from 1 practitioner
Practice locations: Mansfield, OH

National Provider Directory

National Provider Directory

Locations

1115A Lexington Ave
Mansfield, OH 44907
Phone (419) 756-7000

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": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1972880854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115A LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072251",
            "telephone_number": "419-756-7000",
            "fax_number": "419-756-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115A LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072251",
            "telephone_number": "419-756-7000",
            "fax_number": "419-756-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLAR FAMILY CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "CLERICAL",
        "authorized_official_telephone_number": "330-337-1441"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.