Individual provider Active NPI

Mark E Kowalski, CHIROPRACTOR DC

  • Chiropractor
  • Dublin, OH
National Provider Identifier
1902097991
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1148 Issued in OH
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

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
311160498MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.kowalskichiropractic.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1148OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kowalski Chiropractic Chiropractor CurrentSince Aug 10, 2010 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.

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.

Verify at the official NPI Registry.