Individual provider Active NPI

David Allen Vincent, D.C.

  • Chiropractor
  • Warrensville Heights, OH
National Provider Identifier
1467544262
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4619 Issued in OH
Practice address
25001 Emery Rd Ste 100
Warrensville Heights, OH 44128-5627
Phone
(216) 285-4070
Fax
(216) 201-5230
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006-0000903 VT
Chiropractor 111N00000X DC4619 OH Primary

Addresses

Primary practice location

25001 Emery Rd Ste 100
Warrensville Heights, OH 44128-5627

Mailing address

25001 Emery Rd Ste 100
Warrensville Heights, OH 44128-5627
Phone (216) 285-4070

Other identifiers 1

IdentifierTypeStateIssuer
0168860MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address davidvincent@uhps.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060321000707 VT Practitioner - Chiropractic 0244247914 Practice locations: Bennington, VT
I20160627002398 OH Practitioner - Chiropractic 0244247914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Suite 203
Conneaut, OH 44030-2039
Phone (440) 285-2960

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC4619OHMDChiropractor
006-0000903VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Apr 1, 2018 Accepting new patients
University Primary Care Practices Inc CurrentSince Apr 1, 2018 Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Interoperability endpoints

  • Direct secure messaging: dvincent27229@ehrdirect.uhhospitals.org

Organizations & group practices 5

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1467544262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25001 EMERY RD STE 100",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285627",
            "telephone_number": "216-285-4070",
            "fax_number": "216-201-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25001 EMERY RD STE 100",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285627",
            "telephone_number": "216-285-4070",
            "fax_number": "216-201-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0000903",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC4619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0168860",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davidvincent@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "25001 Emery Rd Ste 100",
            "city": "Warrensville Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441285627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; 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.