Individual provider Active NPI

Mitchell Howard

  • Chiropractor
  • Germantown, OH
National Provider Identifier
1164897922
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4538 Issued in OH
Practice address
11 N Main St.
Germantown, OH 45327
Phone
(937) 855-2700
NPI assigned
Dec 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 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 4538 OH Primary

Addresses

Primary practice location

11 N Main St.
Germantown, OH 45327

Mailing address

11 N Main Street
Germantown, OH 45327
Phone (937) 855-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906002497 OH Practitioner - Chiropractic 2769711365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Chiropractic and Wellness Center LLCGroup PAC ID 1456694132, 2 clinicians

Practice addresses (Care Compare)

1600 W Main St
Wilmington, OH 45177-1072
Phone (937) 382-1095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4538OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Chiropractic and Wellness Center LLC Chiropractor CurrentSince Aug 22, 2019 Accepting new patients

Locations

1600 W Main St
Ste B
Wilmington, OH 45177
Phone (937) 382-1095

1600 W Main St
Wilmington, OH 45177
Phone (937) 215-2803

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, 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": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1164897922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N MAIN STREET",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "45327",
            "telephone_number": "937-855-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAIN ST.",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "45327",
            "telephone_number": "937-855-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.