Organization Active NPI

Victory Chiropractic LLC

  • Chiropractor
  • Ashland, OH
National Provider Identifier
1457530354
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3669 Issued in OH
Legal business name
VICTORY CHIROPRACTIC LLC
Practice address
1062 Commerce Pkwy
Ashland, OH 44805-8953
Phone
(419) 281-1000
Fax
(419) 281-2047
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Dr. David Charles Pamer, D.C.NPI 1912053224
Title
Owner/Chiropractor
Phone
(419) 529-2703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3669 OH Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 242 OH
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2869 OH

Addresses

Primary practice location

1062 Commerce Pkwy
Ashland, OH 44805-8953

Mailing address

1062 Commerce Pkwy
Ashland, OH 44805-8953
Phone (419) 281-1000

National Provider Directory

National Provider Directory

Locations

75 Amberwood Pkwy
Ste A
Ashland, OH 44805
Phone (419) 281-1000

1062 Commerce Pkwy
Ashland, OH 44805
Phone (419) 281-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1457530354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 COMMERCE PKWY",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448058953",
            "telephone_number": "419-281-1000",
            "fax_number": "419-281-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 COMMERCE PKWY",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448058953",
            "telephone_number": "419-281-1000",
            "fax_number": "419-281-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "PAMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "419-529-2703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3669",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "242",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.