Prentice Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2262 Issued in OH

Legal business name

PRENTICE FAMILY CHIROPRACTIC, LLC

Practice address

1723 Columbus Ave
Suite B
Sandusky, OH 44870-3546

Phone

(419) 621-7555

Fax

(419) 621-5597

NPI assigned

Nov 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Steven Ray Prentice, D.C.

Title

Ceo

Phone

(419) 621-7555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1992072771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 COLUMBUS AVE",
            "address_2": "SUITE 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": "SUITE B",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703546",
            "telephone_number": "419-621-7555",
            "fax_number": "419-621-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENTICE FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-621-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0229176",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sandusky, OH
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.