Individual provider Active NPI

John D Uvena, DC

  • Chiropractor
  • Dover, OH
National Provider Identifier
1831245299
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3080 Issued in OH
Practice address
3026 N Wooster Ave
Dover, OH 44622-9469
Phone
(330) 364-4400
Fax
(330) 364-1407
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3080 OH Primary

Addresses

Primary practice location

3026 N Wooster Ave
Dover, OH 44622-9469

Mailing address

8657 French Hill Rd NW
Bolivar, OH 44612-8955
Phone (330) 874-4855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126001202 OH Practitioner - Chiropractic 0345429015 Practice locations: Dover, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3026 N Wooster Ave
Dover, OH 44622-9469
Phone (330) 364-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3080OHMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pruni Chiropractic LLC Chiropractor CurrentSince Dec 16, 2014 Accepting new patients
Pruni Chiropractic Chiropractor Past Accepting new patients

Locations

3026 N Wooster Ave
Dover, OH 44622
Phone (216) 364-4400

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1831245299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8657 FRENCH HILL RD NW",
            "city": "BOLIVAR",
            "state": "OH",
            "postal_code": "446128955",
            "telephone_number": "330-874-4855",
            "fax_number": "330-364-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446229469",
            "telephone_number": "330-364-4400",
            "fax_number": "330-364-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UVENA",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.