Individual provider Active NPI

David L Wigton, DC

  • Chiropractor
  • Kenton, OH
National Provider Identifier
1871586107
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1015 Issued in OH
Practice address
922 E Columbus St
Kenton, OH 43326-1683
Phone
(419) 673-3111
Fax
(419) 673-8619
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1015 OH Primary

Addresses

Primary practice location

922 E Columbus St
Kenton, OH 43326-1683

Mailing address

922 E Columbus St
PO Box 114
Kenton, OH 43326-1683
Phone (419) 673-3111

Other identifiers 1

IdentifierTypeStateIssuer
0577773MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130426000168 OH Practitioner - Chiropractic 4385880921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1231 E Columbus St
Kenton, OH 43326-1760
Phone (419) 673-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1015OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
David L. Wigton D.C. Inc CurrentSince Jan 22, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1231 E Columbus St
Kenton, OH 43326
Phone (419) 673-3111

922 E Columbus St
Kenton, OH 43326
Phone (419) 673-3111

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1871586107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 E COLUMBUS ST",
            "address_2": "PO BOX 114",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433261683",
            "telephone_number": "419-673-3111",
            "fax_number": "419-673-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 E COLUMBUS ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433261683",
            "telephone_number": "419-673-3111",
            "fax_number": "419-673-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGTON",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0577773",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.