Individual provider Active NPI

David Charles Pamer, D.C.

  • Chiropractor
  • Mansfield, OH
National Provider Identifier
1912053224
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
242 Issued in OH
Practice address
300 S Lexington Springmill Rd
Mansfield, OH 44906-1330
Phone
(419) 529-2703
Fax
(419) 529-3984
NPI assigned
Jan 27, 2007
Last updated
Jan 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 242 OH Primary

Addresses

Primary practice location

300 S Lexington Springmill Rd
Mansfield, OH 44906-1330

Mailing address

300 S Lexington Springmill Rd
Mansfield, OH 44906-1330
Phone (419) 529-2703

Other identifiers 1

IdentifierTypeStateIssuer
0322967MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
242OHMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Pamer Chiropractic Life West LTD Chiropractor PastSince Nov 1, 1999 Accepting new patients
Complete Chiropractic Life Center Chiropractor PastSince Sep 15, 1998 Accepting new patients
Victory Chiropractic LLC Chiropractor Past Accepting new patients
Pamer Family Chiropractic, LLC Chiropractor PastSince Jun 21, 2001 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1912053224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S LEXINGTON SPRINGMILL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061330",
            "telephone_number": "419-529-2703",
            "fax_number": "419-529-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S LEXINGTON SPRINGMILL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061330",
            "telephone_number": "419-529-2703",
            "fax_number": "419-529-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMER",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0322967",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.