Individual provider Active NPI

Todd Aaron Joachim I, DC

  • Chiropractor
  • Marion, OH
National Provider Identifier
1205961752
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3317 Issued in OH
Practice address
1036 Mount Vernon Ave
Marion, OH 43302-5537
Phone
(740) 751-6800
Fax
(740) 751-6802
NPI assigned
Feb 23, 2007
Last updated
May 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3317 OH Primary

Addresses

Primary practice location

1036 Mount Vernon Ave
Marion, OH 43302-5537

Mailing address

1036 Mount Vernon Ave
Marion, OH 43302-5537
Phone (740) 751-6800

Other identifiers 4

IdentifierTypeStateIssuer
2337975MedicaidOH
4277931OtherMEDICARE PTAN
3001487OtherMEDICAID GROUP
9385551OtherSOLE OWNED ORG. PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000033 OH Practitioner - Chiropractic 8921146697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1036 Mount Vernon Ave
Marion, OH 43302-5537
Phone (740) 751-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3317OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Chiropractic Clinic Chiropractor CurrentSince Sep 29, 2009 Accepting new patients
Denton-Prater Chiropractic and Natural Health Chiropractor Past Accepting new patients

Locations

1036 Mount Vernon Ave
Marion, OH 43302
Phone (740) 389-5151

1069 Delaware Ave
Ste 201
Marion, OH 43302
Phone (740) 389-0022

Organizations & group practices 2

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1205961752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 MOUNT VERNON AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025537",
            "telephone_number": "740-751-6800",
            "fax_number": "740-751-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 MOUNT VERNON AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025537",
            "telephone_number": "740-751-6800",
            "fax_number": "740-751-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOACHIM",
        "first_name": "TODD",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2337975",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "4277931",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "3001487",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE OWNED ORG. PTAN",
            "identifier": "9385551",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.