Individual provider Active NPI

Timothy James Prater, D.C.

  • Chiropractor
  • Marion, OH
National Provider Identifier
1780727693
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4416 Issued in OH
Practice address
520 E Center St
Marion, OH 43302-4260
Phone
(740) 387-3185
Fax
(740) 387-4238
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009316 MI
Chiropractor 111N00000X 4416 OH Primary

Addresses

Primary practice location

520 E Center St
Marion, OH 43302-4260

Mailing address

1331 Lawndale Rd
Marion, OH 43302-7517
Phone (740) 387-3185

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140523000731 OH Practitioner - Chiropractic 4789734393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denton-Prater Chiropractic and Natural HealthGroup PAC ID 1759719222, 2 clinicians

Practice addresses (Care Compare)

520 E Ctr St
Suite a
Marion, OH 43302-4261
Phone (740) 387-3185

Hospital & facility affiliations

  • Marion General Hospital Hospital, Marion, OH, CCN 360011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009316MIMDChiropractor
4416OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Denton-Prater Chiropractic and Natural Health Chiropractor CurrentSince Jan 2, 2020 Accepting new patients
Birmingham Chiropractic Clinic PC Chiropractor PastSince Jul 1, 2007 Accepting new patients

Locations

520 E Center St
Marion, OH 43302
Phone (740) 387-3185

520 E Center St
Ste A
Marion, OH 43302
Phone (740) 387-3185

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1780727693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 LAWNDALE RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027517",
            "telephone_number": "740-387-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024260",
            "telephone_number": "740-387-3185",
            "fax_number": "740-387-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009316",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.