Active NPI
Douglas Michael Endel, D.C.
- Chiropractor
- Westerville, OH
National Provider Identifier
1437320322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4011
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00656071 | Other | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4011 | OH | MD | Chiropractor |
| CH60001967 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westerville Chiropractic, Inc. | 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
- Westerville, OH
- NPI 1164740338
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.