Organization Active NPI

Richard M Pelkowski D.C., D.M.

  • Chiropractor
  • Greentown, OH
National Provider Identifier
1831362847
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
144 Issued in OH
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

Updated by the provider on Apr 20, 2008

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.NPI 1437142023
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000000127552OtherOHANTHEM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.