Active NPI
Joseph A Targonski, DC DM
- Chiropractor
- Archbold, OH
National Provider Identifier
1588696702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 345
- Practice address
- 305 East Lutz Road
Archbold, OH 43502-0302 - Phone
- (419) 446-2591
- Fax
- (419) 446-0230
- NPI assigned
- Jul 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 345 | OH | Primary |
| Chiropractor | 111N00000X | 37-00-3457 | OH |
Addresses
Primary practice location
305 East Lutz Road
Archbold, OH 43502-0302
Mailing address
305 East Lutz Road
PO Box 302
Archbold, OH 43502-0302
Phone (419) 446-2591
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000126294 | Other | OH | ANTHEM |
| 34103569100 | Other | OH | W/ COMP |
| 0347119 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 345 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph a. Targonski | Chiropractor | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588696702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 EAST LUTZ ROAD",
"address_2": "PO BOX 302",
"city": "ARCHBOLD",
"state": "OH",
"postal_code": "435020302",
"telephone_number": "419-446-2591",
"fax_number": "419-446-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 EAST LUTZ ROAD",
"city": "ARCHBOLD",
"state": "OH",
"postal_code": "435020302",
"telephone_number": "419-446-2591",
"fax_number": "419-446-0230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARGONSKI",
"first_name": "JOSEPH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC DM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "345",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "37-00-3457",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000126294",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "W/ COMP",
"identifier": "34103569100",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0347119",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Archbold, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.