Organization Active NPI

Marion Chiropractic Clinic

  • Chiropractor
  • Marion, OH
National Provider Identifier
1336473016
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3317 Issued in OH
Legal business name
MARION CHIROPRACTIC CLINIC
Practice address
1036 Mount Vernon Ave
Marion, OH 43302-5537
Phone
(740) 751-6800
Fax
(740) 751-6802
NPI assigned
Sep 28, 2009
Last updated
May 3, 2022By the provider in NPPES
Organization subpart
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

Authorized official

Name
Dr. Todd A. Joachim, DCNPI 1205961752
Title
Owner
Phone
(740) 751-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

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 3

IdentifierTypeStateIssuer
3001487OtherOHMEDICAID GROUP
9385551OtherOHMEDICARE SOLE OWNED ORG. PTAN
2337975MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091118000034 OH Part B Supplier - Clinic/Group Practice 9830237502 Receives reassigned benefits from 1 practitioner
Practice locations: Marion, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1336473016",
    "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": {
        "organization_name": "MARION CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "JOACHIM",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-751-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "3001487",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SOLE OWNED ORG. PTAN",
            "identifier": "9385551",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2337975",
            "state": "OH"
        }
    ],
    "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.