Individual provider Active NPI

Alan A Newman, DC

  • Chiropractor
  • Mount Vernon, OH
National Provider Identifier
1801972146
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2378 Issued in OH
Practice address
1684 Venture Dr
Suite F
Mount Vernon, OH 43050-8950
Phone
(740) 392-7550
Fax
(740) 392-5335
NPI assigned
Oct 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2378 OH Primary

Addresses

Primary practice location

1684 Venture Dr
Suite F
Mount Vernon, OH 43050-8950

Mailing address

1684 Venture Dr
Suite F
Mount Vernon, OH 43050-8950
Phone (740) 392-7550

Other identifiers 1

IdentifierTypeStateIssuer
2226406MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071001000262 OH Practitioner - Chiropractic 2668567074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1684 Venture Dr
Suite F
Mount Vernon, OH 43050-8950
Phone (740) 392-7550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2378OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alan a Newman Chiropractor CurrentSince Sep 19, 2002 Accepting new patients
Ontario Medical Spine and Joint LLC PastSince Oct 4, 2020 Accepting new patients

Locations

1684 Venture Dr
Ste F
Mount Vernon, OH 43050
Phone (740) 392-7550

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.

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1801972146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 VENTURE DR",
            "address_2": "SUITE F",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508950",
            "telephone_number": "740-392-7550",
            "fax_number": "740-392-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 VENTURE DR",
            "address_2": "SUITE F",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508950",
            "telephone_number": "740-392-7550",
            "fax_number": "740-392-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ALAN",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-30",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2226406",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.