Individual provider Active NPI

Keith S Ungar, D.C.

  • Chiropractor
  • Akron, OH
National Provider Identifier
1801065479
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1083 Issued in OH
Practice address
2828 S Arlington Rd
Suite 100
Akron, OH 44312-4726
Phone
(330) 896-8500
Fax
(330) 896-8383
NPI assigned
Feb 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1083 OH Primary

Addresses

Primary practice location

2828 S Arlington Rd
Suite 100
Akron, OH 44312-4726

Mailing address

2828 S Arlington Rd
Suite 100
Akron, OH 44312-4726
Phone (330) 896-8500

Other identifiers 3

IdentifierTypeStateIssuer
2224435OtherOHMEDICAID
0602468MedicaidOH
000000186974OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1083OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1801065479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 S ARLINGTON RD",
            "address_2": "SUITE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443124726",
            "telephone_number": "330-896-8500",
            "fax_number": "330-896-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S ARLINGTON RD",
            "address_2": "SUITE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443124726",
            "telephone_number": "330-896-8500",
            "fax_number": "330-896-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGAR",
        "first_name": "KEITH",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "2224435",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0602468",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000186974",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.