Individual provider Active NPI

Elizabeth Purvis Archer, DC

  • Chiropractor
  • Caldwell, OH
National Provider Identifier
1578616033
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3527 Issued in OH
Practice address
111 West St
Caldwell, OH 43724-1359
Phone
(740) 732-7050
Fax
(740) 732-4837
NPI assigned
Jan 19, 2007
Last updated
May 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3527 OH Primary

Addresses

Primary practice location

111 West St
Caldwell, OH 43724-1359

Mailing address

111 West St
Caldwell, OH 43724-1359
Phone (740) 732-7050

Other identifiers 4

IdentifierTypeStateIssuer
56248594300OtherOHWORKERS COMP
000000351472OtherOHBLUE CROSS BLUE SHIELD
2519386MedicaidOH
CO3527OtherOHHEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041124000129 OH Practitioner - Chiropractic 1355305616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 W St
Caldwell, OH 43724-1359
Phone (740) 732-7050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3527OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Purvis Chiropractic LLC Chiropractor CurrentSince Sep 27, 2004 Accepting new patients
Chiroserv PC Chiropractor PastSince Aug 9, 2016 Accepting new patients

Locations

111 West St
Caldwell, OH 43724
Phone (740) 732-7050

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1578616033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WEST ST",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437241359",
            "telephone_number": "740-732-7050",
            "fax_number": "740-732-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WEST ST",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437241359",
            "telephone_number": "740-732-7050",
            "fax_number": "740-732-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS ARCHER",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "56248594300",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000351472",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2519386",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN",
            "identifier": "CO3527",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.