Individual provider Active NPI

Peter David Feldkamp, DC

  • Chiropractor
  • Grove City, OH
National Provider Identifier
1912098757
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1446 Issued in OH
Practice address
4227 Hoover Rd
Grove City, OH 43123-3617
Phone
(614) 875-3338
Fax
(614) 875-3034
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1446 OH Primary

Addresses

Primary practice location

4227 Hoover Rd
Grove City, OH 43123-3617

Mailing address

4227 Hoover Rd
Grove City, OH 43123-3617
Phone (614) 875-3338

Other identifiers 2

IdentifierTypeStateIssuer
0817512MedicaidOH
000000120863OtherANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120103000471 OH Practitioner - Chiropractic 6103850524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feldkamp Chiropractic Clinic IncGroup PAC ID 4486688801, 2 clinicians

Practice addresses (Care Compare)

4227 Hoover Rd
Grove City, OH 43123-3617
Phone (614) 875-3338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1446OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Feldkamp Chiropractic Clinic Inc Chiropractor CurrentSince Jul 1, 1996 Accepting new patients

Locations

4227 Hoover Rd
Grove City, OH 43123
Phone (614) 875-3338

Organizations & group practices 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1912098757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233617",
            "telephone_number": "614-875-3338",
            "fax_number": "614-875-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233617",
            "telephone_number": "614-875-3338",
            "fax_number": "614-875-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDKAMP",
        "first_name": "PETER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0817512",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000120863",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.