Individual provider Active NPI

Daniel D. Doudna, B.S., D.C.

  • Chiropractor
  • Grove City, OH
National Provider Identifier
1720003890
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1732 Issued in OH
Practice address
4305 Broadway
Grove City, OH 43123-3017
Phone
(614) 875-1121
Fax
(614) 875-1111
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1732 OH Primary

Addresses

Primary practice location

4305 Broadway
Grove City, OH 43123-3017

Mailing address

4305 Broadway
Grove City, OH 43123-3017
Phone (614) 875-1121

Other identifiers 2

IdentifierTypeStateIssuer
31-1357390-00OtherOHBWC
0985859MedicaidOH

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
1732OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip B. Doudna, D.C., LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720003890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233017",
            "telephone_number": "614-875-1121",
            "fax_number": "614-875-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233017",
            "telephone_number": "614-875-1121",
            "fax_number": "614-875-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUDNA",
        "first_name": "DANIEL",
        "middle_name": "D.",
        "credential": "B.S., D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "31-1357390-00",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0985859",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

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

Verify at the official NPI Registry.