Mitchell Wade, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-05007 Issued in OH

Practice address

6790 Thrush Dr
Canal Winchester, OH 43110-8385

Phone

(614) 833-0563

Fax

(614) 833-0916

NPI assigned

Nov 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canal Chiropractic and Rehab IncGroup PAC ID 3971556697, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Canal Chiropractic and Rehab Inc

  • Chiropractor
  • Canal Winchester, OH
  • NPI 1598767212
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1386245785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6790 THRUSH DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108385",
            "telephone_number": "614-833-0563",
            "fax_number": "614-833-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6790 THRUSH DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108385",
            "telephone_number": "614-833-0563",
            "fax_number": "614-833-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vogel Dialysis LLC
• Adam Von Der Embse
• Akia Wade
• Kyle Lamont Wade
• Michelle Renee Wade, RN
• Scott B Wade, DC
• Aichetou B Waiga, DO
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co

• Chiropractor in Canal Winchester, OH
• Providers in Canal Winchester, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.