Individual provider Active NPI

Merle Stevin Auck, D.C.

  • Chiropractor
  • Youngstown, OH
National Provider Identifier
1124211396
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2350 Issued in OH
Practice address
3610 Market St
Youngstown, OH 44507-2012
Phone
(330) 783-3000
Fax
(330) 783-3998
NPI assigned
Aug 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2350 OH Primary

Addresses

Primary practice location

3610 Market St
Youngstown, OH 44507-2012

Mailing address

111 Jennette Dr
Boardman, OH 44512-1548
Phone (330) 519-3041

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

LicenseStateTypeSpecialty
2350OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Delliquadri Chiropractic Clinic, LCC, 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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1124211396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JENNETTE DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445121548",
            "telephone_number": "330-519-3041",
            "fax_number": "330-788-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445072012",
            "telephone_number": "330-783-3000",
            "fax_number": "330-783-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUCK",
        "first_name": "MERLE",
        "middle_name": "STEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.