Paul R Juszczyk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2047 Issued in OH

Practice address

849 N Broadway St
Lebanon, OH 45036-1306

Phone

(513) 932-2955

Fax

(513) 933-9417

NPI assigned

Oct 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Juszczyk Chiropractic, Inc

  • Chiropractor
  • Lebanon, OH
  • NPI 1346447414
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1669461265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 N BROADWAY ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361306",
            "telephone_number": "513-932-2955",
            "fax_number": "513-933-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 N BROADWAY ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361306",
            "telephone_number": "513-932-2955",
            "fax_number": "513-933-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSZCZYK",
        "first_name": "PAUL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2546945",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason R Judd, PC
• Michael Alan Juergens
• Julie Baker-Nolan LLC (Heart Rooted Counseling)
• Susan Elaine Julien
• Juszczyk Chiropractic, Inc
• K.C.D.C.P.C. (Fox Chiropractic)
• Jonathan David Kaczur
• Jeanette Lynn Kairn
• Kimberly Kaiser
• Tamara Tamara Kankowski

• Chiropractor in Lebanon, OH
• Providers in Lebanon, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.