Active NPI
Jay Michael Dewitt, D.C
- Chiropractor
- Delphos, OH
National Provider Identifier
1972523157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2236
- Practice address
- 333 North St
Delphos, OH 45833-1070 - Phone
- (419) 692-2225
- Fax
- (419) 695-7325
- NPI assigned
- Jul 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2236 | OH | Primary |
Addresses
Primary practice location
333 North St
Delphos, OH 45833-1070
Mailing address
333 North St
Delphos, OH 45833-1070
Phone (419) 692-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0175180 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101108000079 | OH | Practitioner - Chiropractic | 9234324088 | Practice locations: Delphos, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
150 W 5TH St
Delphos, OH 45833-1414
Phone (419) 692-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2236 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Northwest Physical Therapy, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Physical Therapist
- Ottawa, OH
- NPI 1487687125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972523157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 NORTH ST",
"city": "DELPHOS",
"state": "OH",
"postal_code": "458331070",
"telephone_number": "419-692-2225",
"fax_number": "419-695-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 NORTH ST",
"city": "DELPHOS",
"state": "OH",
"postal_code": "458331070",
"telephone_number": "419-692-2225",
"fax_number": "419-695-7325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWITT",
"first_name": "JAY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0175180",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delphos, OH
- Delphos Family Dentistry, LLC, Seth P Askins, DDS
- Delphos Family Physicians Inc
- Delphos Medical Associates Inc
- Delphos Pharmacy1St LLC (Our Town Pharmacy)
- Delphos Senior Citizens, Inc.
- Traci Lee East, APRN-CNP
- Angela Eickholt, RPH
- Alecia Evans-Hayes, DMIN. MSSA LSW
- Eye Site of Delphos LLC
- Lynda Sue Fair
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.