Organization Active NPI

The Chiropractic Health & Wellness Center of Dayton, Inc.

  • Sports Physician Chiropractor
  • Dayton, OH
National Provider Identifier
1790997682
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2660 Issued in OH
Legal business name
THE CHIROPRACTIC HEALTH & WELLNESS CENTER OF DAYTON, INC.
Practice address
2301 Far Hills Ave
Dayton, OH 45419-1513
Phone
(937) 293-3052
Fax
(937) 293-1565
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patrick M Prikkel, D.C.NPI 1013036730
Title
President
Phone
(937) 293-3052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 2660 OH Primary

Addresses

Primary practice location

2301 Far Hills Ave
Dayton, OH 45419-1513

Mailing address

2301 Far Hills Ave
Dayton, OH 45419
Phone (937) 293-3052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080304000475 OH Part B Supplier - Clinic/Group Practice 2466537287 Receives reassigned benefits from 4 practitioners
Practice locations: Oakwood, OH

National Provider Directory

National Provider Directory

Locations

2301 Far Hills Ave
Oakwood, OH 45419
Phone (937) 293-3052

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790997682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45419",
            "telephone_number": "937-293-3052",
            "fax_number": "937-293-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191513",
            "telephone_number": "937-293-3052",
            "fax_number": "937-293-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHIROPRACTIC HEALTH & WELLNESS CENTER OF DAYTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIKKEL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-293-3052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "2660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.