NPIMap

Organization Active NPI

Yellow Springs Chiropractic, LLC

  • Chiropractor
  • Yellow Springs, OH
National Provider Identifier
1558660837
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
642 Issued in OH
Legal business name
YELLOW SPRINGS CHIROPRACTIC, LLC
Practice address
233 Corry St
Yellow Springs, OH 45387-1812
Phone
(937) 767-7251
Fax
(937) 767-7252
NPI assigned
Mar 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Dr. Mark G Duckwall, D.C.NPI 1881765931
Title
Managing Member
Phone
(937) 767-7251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 642 OH Primary

Addresses

Primary practice location

233 Corry St
Yellow Springs, OH 45387-1812

Mailing address

233 Corry St
Yellow Springs, OH 45387-1812
Phone (937) 767-7251

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1558660837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 CORRY ST",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871812",
            "telephone_number": "937-767-7251",
            "fax_number": "937-767-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 CORRY ST",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871812",
            "telephone_number": "937-767-7251",
            "fax_number": "937-767-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW SPRINGS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "DUCKWALL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "937-767-7251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yellow Springs, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.