Active NPI
Richard M Pelkowski D.C., D.M.
- Chiropractor
- Greentown, OH
National Provider Identifier
1831362847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 144
- Legal business name
- RICHARD M PELKOWSKI D.C., D.M.
- Practice address
- 9700 Cleveland Ave NW
Greentown, OH 44630-0337 - Phone
- (330) 499-7020
- Fax
- (330) 499-1120
- NPI assigned
- Apr 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Martin Pelkowski, D.C., D.M.
- Title
- Owner
- Phone
- (330) 499-7020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 144 | OH | Primary |
Addresses
Primary practice location
9700 Cleveland Ave NW
Greentown, OH 44630-0337
Mailing address
PO Box 337
Greentown, OH 44630-0337
Phone (330) 499-7020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000127552 | Other | OH | ANTHEM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Greentown, OH
- NPI 1437142023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1831362847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 337",
"city": "GREENTOWN",
"state": "OH",
"postal_code": "446300337",
"telephone_number": "330-499-7020",
"fax_number": "330-499-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 CLEVELAND AVE NW",
"city": "GREENTOWN",
"state": "OH",
"postal_code": "446300337",
"telephone_number": "330-499-7020",
"fax_number": "330-499-1120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD M PELKOWSKI D.C., D.M.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "PELKOWSKI",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-499-7020",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.C., D.M."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OH",
"license": "144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000127552",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greentown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.