Individual provider Active NPI

David Edwin Muck, DC

  • Chiropractor
  • Maumee, OH
National Provider Identifier
1376746826
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
231 Issued in OH
Practice address
2526 Perrysburg Holland Rd
Maumee, OH 43537-1344
Phone
(419) 866-0462
NPI assigned
Jun 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 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 231 OH Primary

Addresses

Primary practice location

2526 Perrysburg Holland Rd
Maumee, OH 43537-1344

Mailing address

2526 Perrysburg Holland Rd
Maumee, OH 43537-1344
Phone (419) 866-0462

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

State licenses

LicenseStateTypeSpecialty
231OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1376746826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 PERRYSBURG HOLLAND RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371344",
            "telephone_number": "419-866-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 PERRYSBURG HOLLAND RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371344",
            "telephone_number": "419-866-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCK",
        "first_name": "DAVID",
        "middle_name": "EDWIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.