Active NPI
David S Peltier, DC
- Chiropractor
- Marion, OH
National Provider Identifier
1508809518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1614
- Practice address
- 355 Barks Rd East
Marion, OH 43302 - Phone
- (740) 389-3330
- Fax
- (740) 389-6880
- NPI assigned
- Jun 14, 2006
- Last updated
- May 29, 2008
- 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 | 1614 | OH | Primary |
Addresses
Primary practice location
355 Barks Rd East
Marion, OH 43302
Mailing address
355 Barks Rd East
Marion, OH 43302
Phone (740) 389-3330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0853821 | 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 |
|---|---|---|---|---|
| I20120309000154 | OH | Practitioner - Chiropractic | 3678732799 | Practice locations: Marion, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1614 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability Chiropractic Marion LLC | Chiropractor | Current | Accepting new patients |
| Peltier Chiropractic Center LLC | Chiropractor | Past | Accepting new patients |
Locations
355 Barks Rd E
Marion, OH 43302
Phone (740) 389-3330
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Marion, OH
- NPI 1780710053
-
- Chiropractor
- Marion, OH
- NPI 1447039672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1508809518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 BARKS RD EAST",
"city": "MARION",
"state": "OH",
"postal_code": "43302",
"telephone_number": "740-389-3330",
"fax_number": "740-389-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 BARKS RD EAST",
"city": "MARION",
"state": "OH",
"postal_code": "43302",
"telephone_number": "740-389-3330",
"fax_number": "740-389-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELTIER",
"first_name": "DAVID",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0853821",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.