CREEKSIDE CHIROPRACTIC CENTER NPI 1649459165

NPI Information

  • NPI: 1649459165
  • Provider Name: CREEKSIDE CHIROPRACTIC CENTER
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 960 N HAMILTON RD
    SUITE 104
    GAHANNA, OH
    ZIP 43230
  • Phone: (614) 472-0992

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NPI Details

CREEKSIDE CHIROPRACTIC CENTER is a chiropractor in Gahanna, OH. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CREEKSIDE CHIROPRACTIC CENTER NPI is 1649459165. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

960 N HAMILTON RD
SUITE 104
GAHANNA, OH
ZIP 43230-457
Phone: (614) 472-0992
Fax: (614) 472-0994

The provider's authorized official is Jodi Luaine Cooley .
The authorized official title is Owner and has the following contact phone number (614) 472-0992.

The enumeration date for this NPI number is 11/1/2007 and was last updated on 11/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2092OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12790850MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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