Individual provider Active NPI

James J. Krumpak III, DC

  • Chiropractor
  • Poland, OH
National Provider Identifier
1942315437
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
944 Issued in OH
Practice address
1714 Boardman Poland Rd
#1
Poland, OH 44514-3906
Phone
(330) 757-1151
Fax
(330) 757-6687
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 944 OH Primary

Addresses

Primary practice location

1714 Boardman Poland Rd
#1
Poland, OH 44514-3906

Mailing address

1714 Boardman Poland Rd
#1
Poland, OH 44514-3906
Phone (330) 757-1151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120312000879 OH Practitioner - Chiropractic 1951560804 Receives reassigned benefits from 1 practitioner
Practice locations: Poland, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1714 Boardman Poland Rd
Poland, OH 44514-1957
Phone (330) 757-1151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
944OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Reserve Chiropractic & Acupuncture Chiropractor CurrentSince Dec 31, 1975 Accepting new patients
Clautti Chiropractic, Inc. Chiropractor Past Accepting new patients

Locations

1714 Boardman Poland Rd
Ste 1
Youngstown, OH 44514
Phone (330) 757-1151

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1942315437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 BOARDMAN POLAND RD",
            "address_2": "#1",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143906",
            "telephone_number": "330-757-1151",
            "fax_number": "330-757-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 BOARDMAN POLAND RD",
            "address_2": "#1",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143906",
            "telephone_number": "330-757-1151",
            "fax_number": "330-757-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMPAK",
        "first_name": "JAMES",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.