Individual provider Active NPI

David S Peltier, DC

  • Chiropractor
  • Marion, OH
National Provider Identifier
1508809518
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1614 Issued in OH
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0853821MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120309000154 OH Practitioner - Chiropractic 3678732799 Practice locations: Marion, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1614OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Chiropractic Marion LLC Chiropractor CurrentSince Oct 1, 2023 Accepting new patients
Peltier Chiropractic Center LLC Chiropractor PastSince Jul 20, 2015 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.

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.

Verify at the official NPI Registry.