Richard Allen Doom, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2719 Issued in OH

Practice address

431 E Broadway St
Toledo, OH 43605-2354

Phone

(419) 693-0721

Fax

(419) 693-9596

NPI assigned

Jun 20, 2005

Reactivated

Apr 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• East Toledo Chiropractic Center Inc

  • Chiropractor
  • Toledo, OH
  • NPI 1891946513
  Authorized official Same address or phone

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1730184292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E BROADWAY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052354",
            "telephone_number": "419-693-0721",
            "fax_number": "419-693-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E BROADWAY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052354",
            "telephone_number": "419-693-0721",
            "fax_number": "419-693-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOM",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2008-05-16",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2719",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007692",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2087272",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Donofrio
• Erica Donovan
• Joan M Donovan, LMT
• Kelli M Donovan, PA
• Kelly Donovan
• Dooy Express Transportation LLC
• Melissa Ann Doozan
• Kelly Marie Dorfmeister, FNP
• Doris Healthcare
• Kelsey M a Dorka, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.