Organization Active NPI

Family Chiropractic Center, Inc.

  • Chiropractor
  • Twinsburg, OH
National Provider Identifier
1982728077
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2523 Issued in OH
Legal business name
FAMILY CHIROPRACTIC CENTER, INC.
Practice address
9630 Ravenna Road
Suite 100
Twinsburg, OH 44087
Phone
(330) 405-2751
Fax
(330) 405-2752
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul Bizjak, D.C.NPI 1902941313
Title
C.E.O.
Phone
(330) 405-2751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2523 OH Primary

Addresses

Primary practice location

9630 Ravenna Road
Suite 100
Twinsburg, OH 44087

Mailing address

9630 Ravenna Road
Suite 100
Twinsburg, OH 44087
Phone (330) 405-2751

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050607000769 OH Part B Supplier - Clinic/Group Practice 4284677618 Receives reassigned benefits from 2 practitioners
Practice locations: Twinsburg, OH

National Provider Directory

National Provider Directory

Locations

9630 Ravenna Rd
Ste 100
Twinsburg, OH 44087
Phone (330) 405-2751

Practitioners & affiliated clinicians

Practitioners 5

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982728077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 RAVENNA ROAD",
            "address_2": "SUITE 100",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "44087",
            "telephone_number": "330-405-2751",
            "fax_number": "330-405-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 RAVENNA ROAD",
            "address_2": "SUITE 100",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "44087",
            "telephone_number": "330-405-2751",
            "fax_number": "330-405-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIZJAK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "330-405-2751",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.