DR. THOMAS JOSEPH VAN PETTEN (NPI# 1134629363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134629363 |
| Entity Type | Individual |
| Full Name | DR. THOMAS JOSEPH VAN PETTEN |
| Credential | DC |
| Practice Address |
4774 Munson St Nw Ste 302 Canton OH 44718-3634 |
| Practice Telephone | 3304940422 |
| Practice Fax Number | 3304943601 |
| Mailing Telephone | 3304940422 |
| Mailing Fax Number | 3304943601 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 04796 | OH | Chiropractic Providers |
| Street Address |
4774 MUNSON ST NW STE 302 |
| City | CANTON |
| State | OH |
| Zip Code | 44718-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190363 | Rebel Medical Group LLC | Chiropractor | 2920 Marietta Hwy Ste 102, Canton, GA 30114-8207 | 2020-10-07 |
| 1881220762 | Gia Noelle Candelieri-marcari | Chiropractor | 8016 Cumming Hwy Ste 304, Canton, GA 30115-9350 | 2020-03-23 |
| 1639700255 | Kalli Ross Chiropractor LLC | Chiropractor | 4612 Tuscarawas St W, Canton, OH 44708-5339 | 2020-02-02 |
| 1154961514 | Michigan Complete Chiropractic & Rehab., Plc | Chiropractor | 5958 N Canton Center Rd Ste 300, Canton, MI 48187-2766 | 2020-01-13 |
| 1659917870 | Kaitlin Franklin | Chiropractor | 29957 State Highway 64 Ste 101, Canton, TX 75103-3413 | 2019-11-22 |
| 1578036307 | Jessie L Potter | Chiropractor | 6231 N Canton Center Rd Ste 109, Canton, MI 48187-2692 | 2019-01-03 |
| 1144792789 | 100 Percent Chiropractic Ribley, LLC | Chiropractor | 9266 Knox Bridge Hwy Ste 200, Canton, GA 30114-4627 | 2018-12-20 |
| 1891265534 | Austin David Jones | Chiropractor | 6199 Hickory Flat Hwy Ste 142, Canton, GA 30115-7255 | 2018-11-26 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1992231724 | Belinda Sue Collier | Chiropractor | 619 S Trade Days Blvd, Canton, TX 75103-1825 | 2017-05-11 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.