Individual provider Active NPI

David Poitinger, C.C.S.P

  • Chiropractor
  • Toledo, OH
National Provider Identifier
1093734634
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
371 Issued in OH
Practice address
4859 W Sylvania Ave
Ste B
Toledo, OH 43623-3371
Phone
(937) 592-9545
Fax
(937) 592-9790
NPI assigned
Jul 18, 2006
Last updated
Apr 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 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 371 OH Primary

Addresses

Primary practice location

4859 W Sylvania Ave
Ste B
Toledo, OH 43623-3371

Mailing address

PO Box 341
Bellefontaine, OH 43311-0341
Phone (937) 592-9545

Other identifiers 2

IdentifierTypeStateIssuer
000000142991OtherOHANTHEM
0197602MedicaidOH

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
371OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Poitinger DC LLC Chiropractor PastSince Sep 1, 2012 Accepting new patients
John E Sutherland DC Inc Chiropractor Past Accepting new patients
David N Poitinger D C Chiropractor PastSince Sep 4, 1997 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1093734634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433110341",
            "telephone_number": "937-592-9545",
            "fax_number": "937-592-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4859 W SYLVANIA AVE",
            "address_2": "STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233371",
            "telephone_number": "937-592-9545",
            "fax_number": "937-592-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POITINGER",
        "first_name": "DAVID",
        "credential": "C.C.S.P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000142991",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197602",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.