Individual provider Active NPI

Eric W Eiselt, D.C.

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1275519647
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2297 Issued in OH
Practice address
455 Delta Ave
Suite 1
Cincinnati, OH 45226-1127
Phone
(513) 321-8484
Fax
(513) 321-3676
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 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 2297 OH Primary

Addresses

Primary practice location

455 Delta Ave
Suite 1
Cincinnati, OH 45226-1127

Mailing address

455 Delta Ave
Suite 1
Cincinnati, OH 45226-1127
Phone (513) 321-8484

Other identifiers 1

IdentifierTypeStateIssuer
0236766MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121003000590 OH Practitioner - Chiropractic 9830348036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt. Lookout Chiropractic Center, Inc.Group PAC ID 1456384866, 12 clinicians

Practice addresses (Care Compare)

455 Delta Ave
Suite 1
Cincinnati, OH 45226-1178
Phone (513) 321-8484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2297OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Lookout Chiropractic Center, Inc. Chiropractor CurrentSince Mar 11, 1996 Accepting new patients

Locations

455 Delta Ave
Ste 1
Cincinnati, OH 45226
Phone (513) 321-8484

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1275519647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 DELTA AVE",
            "address_2": "SUITE 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452261127",
            "telephone_number": "513-321-8484",
            "fax_number": "513-321-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 DELTA AVE",
            "address_2": "SUITE 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452261127",
            "telephone_number": "513-321-8484",
            "fax_number": "513-321-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISELT",
        "first_name": "ERIC",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236766",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.