Individual provider Active NPI

Douglas Michael Endel, D.C.

  • Chiropractor
  • Westerville, OH
National Provider Identifier
1437320322
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4011 Issued in OH
Practice address
528 South Otterbein Avenue
Westerville, OH 43081-2913
Phone
(614) 898-9195
Fax
(614) 898-9188
NPI assigned
Mar 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60001967 WA
Chiropractor 111N00000X 4011 OH Primary

Addresses

Primary practice location

528 South Otterbein Avenue
Westerville, OH 43081-2913

Mailing address

528 South Otterbein Avenue
Westerville, OH 43081-2913
Phone (614) 898-9195

Other identifiers 1

IdentifierTypeStateIssuer
P00656071OtherMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100604000508 OH Practitioner - Chiropractic 9436236544 Practice locations: Westerville, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

528 S Otterbein Ave
Westerville, OH 43081-2913
Phone (614) 898-9195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4011OHMDChiropractor
CH60001967WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Westerville Chiropractic, Inc. Chiropractor PastSince May 17, 2010 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.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1437320322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 SOUTH OTTERBEIN AVENUE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812913",
            "telephone_number": "614-898-9195",
            "fax_number": "614-898-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 SOUTH OTTERBEIN AVENUE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812913",
            "telephone_number": "614-898-9195",
            "fax_number": "614-898-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDEL",
        "first_name": "DOUGLAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60001967",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00656071",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.