Active NPI
Mark E Kowalski, CHIROPRACTOR DC
- Chiropractor
- Dublin, OH
National Provider Identifier
1902097991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1148
- Practice address
- 6151 Avery Rd Ste B
Dublin, OH 43016-9614 - Phone
- (614) 975-4579
- Fax
- (614) 798-8018
- NPI assigned
- Aug 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 1148 | OH | Primary |
Addresses
Primary practice location
6151 Avery Rd Ste B
Dublin, OH 43016-9614
Mailing address
6151 Avery Rd Ste B
Dublin, OH 43016-9614
Phone (614) 975-4579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311160498 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.kowalskichiropractic.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101012000584 | OH | Practitioner - Chiropractic | 9032301809 | Practice locations: Dublin, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6151 Avery Rd
Suite B
Dublin, OH 43016-9614
Phone (614) 798-8050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1148 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kowalski Chiropractic | Chiropractor | Current | Accepting new patients |
| Oracle Pain Clinic, Inc. | Past | Accepting new patients |
Locations
6151 Avery Rd
Ste B
Dublin, OH 43016
Phone (614) 798-8050
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.
-
- Chiropractor
- Dublin, OH
- NPI 1437015153
-
- Pain Medicine Physician
- Hilliard, OH
- NPI 1336484294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1902097991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6151 AVERY RD STE B",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430169614",
"telephone_number": "614-975-4579",
"fax_number": "614-798-8018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6151 AVERY RD STE B",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430169614",
"telephone_number": "614-975-4579",
"fax_number": "614-798-8018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKI",
"first_name": "MARK",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "CHIROPRACTOR DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "311160498",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.kowalskichiropractic.com",
"affiliation": "N",
"endpointDescription": "Web",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "office",
"address_1": "6151 Avery Rd Ste B",
"city": "Dublin",
"state": "OH",
"country_code": "US",
"postal_code": "430169614",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.