Organization Active NPI

Chiropractic Associates of New

Doing business as Columbus Chiropractic Center West

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1912295460
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4140 Issued in OH
Legal business name
CHIROPRACTIC ASSOCIATES OF NEW
Doing business as
Columbus Chiropractic Center West
Columbus Pain and Performance
Practice address
4810 W Broad St
Columbus, OH 43228-1602
Phone
(614) 878-3533
Fax
(614) 878-3521
NPI assigned
Jul 19, 2011
Last updated
Dec 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Dr. Jeffrey Carl Covault, D.C.NPI 1760714455
Title
Owner
Phone
(740) 706-1760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4140 OH Primary

Addresses

Primary practice location

4810 W Broad St
Columbus, OH 43228-1602

Mailing address

4810 W Broad St
Columbus, OH 43228-1602
Phone (614) 878-3533

Other practice location 1

4810 W Broad St
Columbus, OH 43228-1602
Phone (614) 878-3533

Other identifiers 1

IdentifierTypeStateIssuer
0051933MedicaidOH

Other names 2

  • Columbus Chiropractic Center West Doing business as
  • Columbus Pain and Performance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170103001231 OH Part B Supplier - Clinic/Group Practice 7911288071 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

4810 W Broad St
Columbus, OH 43228
Phone (614) 878-3533

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1912295460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281602",
            "telephone_number": "614-878-3533",
            "fax_number": "866-713-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281602",
            "telephone_number": "614-878-3533",
            "fax_number": "614-878-3521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4810 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281602",
            "country_code": "US",
            "telephone_number": "614-878-3533",
            "fax_number": "614-878-3521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHIROPRACTIC ASSOCIATES OF NEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "COVAULT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-706-1760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051933",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Chiropractic Center West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Columbus Chiropractic Center West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Columbus Pain and Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.