Organization Active NPI

Star Chiropractic LLC

  • Chiropractor
  • Sandusky, OH
National Provider Identifier
1982125993
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STAR CHIROPRACTIC LLC
Practice address
1723 Columbus Ave
Ste B
Sandusky, OH 44870
Phone
(419) 621-7555
Fax
(419) 621-5597
NPI assigned
Jun 29, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Suzanne M Shaw, DC
Title
Owner
Phone
(419) 621-7555

Specialties & licenses 1

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

Addresses

Primary practice location

1723 Columbus Ave
Ste B
Sandusky, OH 44870

Mailing address

1723 Columbus Ave Ste B
Sandusky, OH 44870-3546
Phone (419) 621-7555

National Provider Directory

National Provider Directory

Locations

304 Williams St
Ste E
Huron, OH 44839
Phone (419) 621-7555

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982125993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 COLUMBUS AVE STE B",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703546",
            "telephone_number": "419-621-7555",
            "fax_number": "419-621-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 COLUMBUS AVE",
            "address_2": "STE B",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-621-7555",
            "fax_number": "419-621-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-621-7555",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.