Organization Active NPI

Triune Chiropractic PC

  • Chiropractor
  • Toledo, OH
National Provider Identifier
1992975536
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1337 Issued in OH
Legal business name
TRIUNE CHIROPRACTIC PC
Doing business as
Schaw Chiropractic
Practice address
2821 N Holland Sylvania Rd
Suite
Toledo, OH 43615-1851
Phone
(419) 531-6000
Fax
(419) 531-4957
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Herbert B Schraw, D.C.NPI 1558448670
Title
Owner
Phone
(419) 531-6000

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 1337 OH Primary

Addresses

Primary practice location

2821 N Holland Sylvania Rd
Suite
Toledo, OH 43615-1851

Mailing address

2821 N Holland Sylvania Rd
Suite
Toledo, OH 43615-1851
Phone (419) 531-6000

Other identifiers 1

IdentifierTypeStateIssuer
0684728MedicaidOH

Other names 1

  • Schaw Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080312000398 OH Part B Supplier - Clinic/Group Practice 2769567965 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

2821 N Holland Sylvania Rd
Ste A
Toledo, OH 43615
Phone (419) 531-6000

2821 N Holland Sylvania Rd
Toledo, OH 43615
Phone (419) 531-6000

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": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1992975536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151851",
            "telephone_number": "419-531-6000",
            "fax_number": "419-531-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151851",
            "telephone_number": "419-531-6000",
            "fax_number": "419-531-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUNE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "SCHRAW",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-531-6000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0684728",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schaw Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.