Active NPI
Andrew Ingram, DC
- Chiropractor
- Medina, OH
National Provider Identifier
1619523966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-04865
- Practice address
- 5019 Victor Dr
Medina, OH 44256-9682 - Phone
- (330) 722-7709
- Fax
- (330) 723-0850
- NPI assigned
- Aug 13, 2019
- 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 | DC-04865 | OH | Primary |
Addresses
Primary practice location
5019 Victor Dr
Medina, OH 44256-9682
Mailing address
5019 Victor Dr
Medina, OH 44256-9682
Phone (330) 722-7709
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1619523966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5019 VICTOR DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "442569682",
"telephone_number": "330-722-7709",
"fax_number": "330-723-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5019 VICTOR DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "442569682",
"telephone_number": "330-722-7709",
"fax_number": "330-723-0850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "ANDREW",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-13",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "DC-04865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.