Active NPI
Joseph R Andrejcik, D.C.
- Chiropractor
- Louisville, OH
National Provider Identifier
1467468546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 286
- Practice address
- 908 W Main St
Louisville, OH 44641-1106 - Phone
- (330) 875-3400
- Fax
- (330) 875-9027
- NPI assigned
- Jul 31, 2006
- 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 | 286 | OH | Primary |
Addresses
Primary practice location
908 W Main St
Louisville, OH 44641-1106
Mailing address
908 W Main St
Louisville, OH 44641-1106
Phone (330) 875-3400
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0268044 | Medicaid | OH | |
| 34-6724862 | Other | OH | TAX ID. |
| 346724862 001 | Other | OH | BC/BS |
| 000000143028 | Other | OH | ANTHEM BC/BS |
| 311816980 | Other | OH | MEDICAL MUTUAL |
| 34672486200 | Other | OH | WORKERS COMP |
| 791350074 | Other | OH | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 286 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467468546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 W MAIN ST",
"city": "LOUISVILLE",
"state": "OH",
"postal_code": "446411106",
"telephone_number": "330-875-3400",
"fax_number": "330-875-9027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 W MAIN ST",
"city": "LOUISVILLE",
"state": "OH",
"postal_code": "446411106",
"telephone_number": "330-875-3400",
"fax_number": "330-875-9027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREJCIK",
"first_name": "JOSEPH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0268044",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID.",
"identifier": "34-6724862",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "346724862 001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000143028",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "311816980",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "34672486200",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "791350074",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.