Individual provider Active NPI

John Stuart Engelhardt, DC

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1801900717
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1733 Issued in OH
Practice address
5981 Harrison Avenue
Suite 1-3
Cincinnati, OH 45248-1698
Phone
(513) 598-1693
Fax
(513) 598-1862
NPI assigned
Aug 18, 2006
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1733 OH Primary

Addresses

Primary practice location

5981 Harrison Avenue
Suite 1-3
Cincinnati, OH 45248-1698

Mailing address

5981 Harrison Ave
Ste 3
Cincinnati, OH 45248-1698
Phone (513) 598-1693

Other identifiers 1

IdentifierTypeStateIssuer
0879643MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051227000366 OH Practitioner - Chiropractic 3779502976 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1733OHMDChiropractor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1801900717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5981 HARRISON AVE",
            "address_2": "STE 3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481698",
            "telephone_number": "513-598-1693",
            "fax_number": "513-598-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5981 HARRISON AVENUE",
            "address_2": "SUITE 1-3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481698",
            "telephone_number": "513-598-1693",
            "fax_number": "513-598-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELHARDT",
        "first_name": "JOHN",
        "middle_name": "STUART",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0879643",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.