Active NPI
Richard Martin Pelkowski, DC DM
- Chiropractor
- Greentown, OH
National Provider Identifier
1437142023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 144
- Practice address
- 9700 Cleveland Ave NW
Greentown, OH 44630-0337 - Phone
- (330) 499-7020
- Fax
- (330) 499-1120
- NPI assigned
- Aug 30, 2005
- 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 | 144 | OH | Primary |
Addresses
Primary practice location
9700 Cleveland Ave NW
Greentown, OH 44630-0337
Mailing address
PO Box 337
Greentown, OH 44630-0337
Phone (330) 499-7020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0155933 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144 | OH | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard M Pelkowski D.C., D.M. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Greentown, OH
- NPI 1831362847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1437142023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 337",
"city": "GREENTOWN",
"state": "OH",
"postal_code": "446300337",
"telephone_number": "330-499-7020",
"fax_number": "330-499-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 CLEVELAND AVE NW",
"city": "GREENTOWN",
"state": "OH",
"postal_code": "446300337",
"telephone_number": "330-499-7020",
"fax_number": "330-499-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELKOWSKI",
"first_name": "RICHARD",
"middle_name": "MARTIN",
"credential": "DC DM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0155933",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greentown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.