Theodore J. Poelking, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2199 Issued in OH

Practice address

2660 Woodman Center CT
Dayton, OH 45420-1477

Phone

(937) 299-2900

NPI assigned

Oct 12, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Poelking Chiropractic Wellness & Physical Therapy, Inc.

  • Rehabilitation Chiropractor
  • Dayton, OH
  • NPI 1306068283
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1740379528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8648 CYPRESS TRL",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450688361",
            "telephone_number": "937-885-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 WOODMAN CENTER CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201477",
            "telephone_number": "937-299-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POELKING",
        "first_name": "THEODORE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "PO9280591",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lea Plummer
• Clarence T Plump Jr.
• Tammy Plyman, RN
• PMT Care Services LLC
• Poelking Chiropractic Wellness & Physical Therapy, Inc.
• Denise Ann Poeppelman
• Kaitlin Poeppelman, PHARMD
• Alison Poff
• Kenneth P Pohl, M.D.
• Daniel Matthew Pohlman, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.