Active NPI
Joseph A Darr, DC
- Chiropractor
- Port Clinton, OH
National Provider Identifier
1831262286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 758
- Practice address
- 125 East Third St
Port Clinton, OH 43452-1126 - Phone
- (419) 734-4210
- Fax
- (419) 732-2656
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 758 | OH | Primary |
Addresses
Primary practice location
125 East Third St
Port Clinton, OH 43452-1126
Mailing address
125 East Third St
Port Clinton, OH 43452-1126
Phone (419) 734-4210
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115431 | Other | AETNA | |
| 6391795 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130508000656 | OH | Practitioner - Chiropractic | 7719124890 | Practice locations: Port Clinton, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
125 E 3Rd St
Port Clinton, OH 43452-1186
Phone (419) 734-4210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 758 | OH | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831262286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 EAST THIRD ST",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434521126",
"telephone_number": "419-734-4210",
"fax_number": "419-732-2656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 EAST THIRD ST",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434521126",
"telephone_number": "419-734-4210",
"fax_number": "419-732-2656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARR",
"first_name": "JOSEPH",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "115431",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6391795",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Clinton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.