Active NPI
Jon Timothy Truman, DC
- Chiropractor
- Pemberville, OH
National Provider Identifier
1053452490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 50
- Practice address
- 131 E Front St
Pemberville, OH 43450-0415 - Phone
- (419) 287-3216
- Fax
- (419) 287-3216
- NPI assigned
- Feb 9, 2007
- Last updated
- Dec 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 50 | OH | Primary |
Addresses
Primary practice location
131 E Front St
Pemberville, OH 43450-0415
Mailing address
PO Box 415
Pemberville, OH 43450-0415
Phone (419) 287-3216
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341121454003 | Other | OH | MEDICAL MUTUAL |
| 000000127623 | Other | OH | ANTHEM BCBS |
| 0197586 | Medicaid | OH | |
| 02785 | Other | OH | PARAMOUNT HEALTH CARE |
| 34112145400 | Other | OH | BWC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1053452490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415",
"city": "PEMBERVILLE",
"state": "OH",
"postal_code": "434500415",
"telephone_number": "419-287-3216",
"fax_number": "419-287-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 E FRONT ST",
"city": "PEMBERVILLE",
"state": "OH",
"postal_code": "434500415",
"telephone_number": "419-287-3216",
"fax_number": "419-287-3216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUMAN",
"first_name": "JON",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "50",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "341121454003",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000127623",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0197586",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT HEALTH CARE",
"identifier": "02785",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "34112145400",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pemberville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.