Active NPI
David C Pack, D.C.
- Chiropractor
- Stow, OH
National Provider Identifier
1306980560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1305
- Practice address
- 3869 Darrow Rd Ste 103
Stow, OH 44224-2676 - Phone
- (330) 688-4300
- Fax
- (330) 688-0379
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1305 | OH | Primary |
Addresses
Primary practice location
3869 Darrow Rd Ste 103
Stow, OH 44224-2676
Mailing address
3869 Darrow Rd Ste 103
Stow, OH 44224-2676
Phone (330) 688-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0672142 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1306980560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3869 DARROW RD STE 103",
"city": "STOW",
"state": "OH",
"postal_code": "442242676",
"telephone_number": "330-688-4300",
"fax_number": "330-688-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3869 DARROW RD STE 103",
"city": "STOW",
"state": "OH",
"postal_code": "442242676",
"telephone_number": "330-688-4300",
"fax_number": "330-688-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACK",
"first_name": "DAVID",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0672142",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.