Individual provider Active NPI

Daniel J Chachko, DC

  • Chiropractor
  • Newton Falls, OH
National Provider Identifier
1083662902
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1896 Issued in OH
Practice address
119 Ridge Rd
Suite B
Newton Falls, OH 44444-1261
Phone
(330) 872-1500
Fax
(330) 872-1466
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1896 OH Primary

Addresses

Primary practice location

119 Ridge Rd
Suite B
Newton Falls, OH 44444-1261

Mailing address

PO Box 423
Newton Falls, OH 44444-1261
Phone (330) 872-1500

Other identifiers 2

IdentifierTypeStateIssuer
290747773003OtherOHMMOH
000000141154OtherOHBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120229000911 OH Practitioner - Chiropractic 0648438192 Practice locations: Newton Falls, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 Ridge Rd
Suite B
Newton Falls, OH 44444-1261
Phone (330) 872-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1896OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Falls Chiropractic, Inc. Chiropractor Past Accepting new patients

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1083662902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444441261",
            "telephone_number": "330-872-1500",
            "fax_number": "330-872-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 RIDGE RD",
            "address_2": "SUITE B",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444441261",
            "telephone_number": "330-872-1500",
            "fax_number": "330-872-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACHKO",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMOH",
            "identifier": "290747773003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000141154",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.