Individual provider Active NPI

John Charles Elkins, D.C.

  • Chiropractor
  • Wapakoneta, OH
National Provider Identifier
1730164989
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3237 Issued in OH
Practice address
108 W Auglaize St
Wapakoneta, OH 45895-1534
Phone
(419) 739-9000
Fax
(419) 739-9005
NPI assigned
Dec 9, 2005
Last updated
Sep 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3237 OH Primary

Addresses

Primary practice location

108 W Auglaize St
Wapakoneta, OH 45895-1534

Mailing address

108 W Auglaize St
Wapakoneta, OH 45895-1534
Phone (419) 739-9000

Other identifiers 1

IdentifierTypeStateIssuer
2830655MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050922000132 OH Practitioner - Chiropractic 3971537663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elkins Family Chiropractic IncGroup PAC ID 9830101302, 2 clinicians

Practice addresses (Care Compare)

108 W Auglaize St
Wapakoneta, OH 45895-1534
Phone (419) 739-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3237OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elkins Family Chiropractic, Inc. Chiropractor CurrentSince May 15, 2006 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Dr. Frederick F. Elkins Chiropractor Past Accepting new patients

Locations

108 W Auglaize St
Wapakoneta, OH 45895
Phone (419) 739-9000

Organizations & group practices 3

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1730164989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W AUGLAIZE ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951534",
            "telephone_number": "419-739-9000",
            "fax_number": "419-739-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W AUGLAIZE ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951534",
            "telephone_number": "419-739-9000",
            "fax_number": "419-739-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2830655",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.