Active NPI
Steven Bruce Irvine, D.C.
- Chiropractor
- Westerville, OH
National Provider Identifier
1467546663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2727
- Practice address
- 1219 County Line Road
Suite C
Westerville, OH 43081-6001 - Phone
- (614) 839-2225
- Fax
- (614) 891-8875
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 2727 | OH | Primary |
Addresses
Primary practice location
1219 County Line Road
Suite C
Westerville, OH 43081-6001
Mailing address
1219 County Line Road
Suite C
Westerville, OH 43081-6001
Phone (614) 839-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000122734 | Other | OH | BLUE CROSS/BLUE SHIELD |
| 2255-036 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120120000657 | OH | Practitioner - Chiropractic | 2163410184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2727 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1467546663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 COUNTY LINE ROAD",
"address_2": "SUITE C",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430816001",
"telephone_number": "614-839-2225",
"fax_number": "614-891-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 COUNTY LINE ROAD",
"address_2": "SUITE C",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430816001",
"telephone_number": "614-839-2225",
"fax_number": "614-891-8875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVINE",
"first_name": "STEVEN",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000000122734",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2255-036",
"state": "OH"
}
],
"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 Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.