Organization Active NPI

Klosterman Chiropractic Wellness Center, LLC

  • Chiropractor
  • Springboro, OH
National Provider Identifier
1881610467
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KLOSTERMAN CHIROPRACTIC WELLNESS CENTER, LLC
Practice address
255 N Main St
Springboro, OH 45066-9255
Phone
(937) 748-8770
Fax
(937) 748-3868
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Dr. David J Klosterman, DC
Title
Owner
Phone
(937) 748-8770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

255 N Main St
Springboro, OH 45066-9255

Mailing address

255 N Main St
Springboro, OH 45066-9255
Phone (937) 748-8770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000277 OH Part B Supplier - Clinic/Group Practice 3971406000 Receives reassigned benefits from 1 practitioner
Practice locations: Springboro, OH

National Provider Directory

National Provider Directory

Locations

255 N Main St
Springboro, OH 45066
Phone (325) 942-5656

245 N Main St
Ste 100
Springboro, OH 45066
Phone (937) 748-8770

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1881610467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669255",
            "telephone_number": "937-748-8770",
            "fax_number": "937-748-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669255",
            "telephone_number": "937-748-8770",
            "fax_number": "937-748-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLOSTERMAN CHIROPRACTIC WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "KLOSTERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-748-8770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.