Individual provider Active NPI

John Cletus Homan, DC

  • Chiropractor
  • Celina, OH
National Provider Identifier
1083150478
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4681 Issued in OH
Practice address
913 W Logan St
Celina, OH 45822-2000
Phone
(419) 586-8600
NPI assigned
Jan 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4681 OH Primary

Addresses

Primary practice location

913 W Logan St
Celina, OH 45822-2000

Mailing address

913 W Logan St
Celina, OH 45822-2000
Phone (419) 586-8600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170501001896 OH Practitioner - Chiropractic 7517240716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercer County Chiropractic and Wellness LLCGroup PAC ID 5698205714, 2 clinicians

Practice addresses (Care Compare)

913 W Logan St
Celina, OH 45822-2000
Phone (419) 586-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4681OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer County Chiropractic and Wellness LLC Chiropractor CurrentSince Oct 30, 2024 Accepting new patients

Locations

913 W Logan St
Ste E
Celina, OH 45822
Phone (419) 586-8600

913 W Logan St
Celina, OH 45822
Phone (419) 586-1333

913 W Logan St
Ste 3
Celina, OH 45822
Phone (419) 586-8600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1083150478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 W LOGAN ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458222000",
            "telephone_number": "419-586-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W LOGAN ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458222000",
            "telephone_number": "419-586-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMAN",
        "first_name": "JOHN",
        "middle_name": "CLETUS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-10",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.