Pruni Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1413 Issued in OH

Legal business name

PRUNI CHIROPRACTIC

Practice address

3026 N Wooster Ave
Dover, OH 44622

Phone

(330) 364-4400

Fax

(330) 364-1407

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen M Pruni III, DONPI 1942235478

Title

Owner

Phone

(330) 343-5262

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephen M Pruni III Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Mark Pruni III, DC

  • Chiropractor
  • Dover, OH
  • NPI 1942235478
  NPD Authorized official
• John D Uvena, DC

  • Chiropractor
  • Dover, OH
  • NPI 1831245299
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992923536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "44622",
            "telephone_number": "330-364-4400",
            "fax_number": "330-364-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "44622",
            "telephone_number": "330-364-4400",
            "fax_number": "330-364-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUNI CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRUNI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-343-5262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0813294",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen M Pruni III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Porter, RDN, LD
• Elizabeth Anne Porter, MS PT
• Ellen Klepzig Potts, D.O.
• Myrissa Powell, MSW, LSW
• Brenda Sue Prince, D.O.
• Pruni Chiropractic LLC
• Stephen Mark Pruni III, DC
• Samantha Quillen, CNP
• Annabelle Raber
• Karenann Edith Rader, BGS

• Chiropractor in Dover, OH
• Providers in Dover, OH by specialty
• Chiropractor in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.