Organization Active NPI

Alan a Newman

  • Chiropractor
  • Mount Vernon, OH
National Provider Identifier
1972798759
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2378 Issued in OH
Legal business name
ALAN A NEWMAN
Practice address
1684 Venture Dr
Suite F
Mount Vernon, OH 43050-8950
Phone
(740) 392-7550
Fax
(740) 392-5335
NPI assigned
Sep 13, 2007
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Alan Ace Newman, DCNPI 1801972146
Title
Owner
Phone
(740) 392-7550

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
Chiropractor 111N00000X 2378 OH Primary

Addresses

Primary practice location

1684 Venture Dr
Suite F
Mount Vernon, OH 43050-8950

Mailing address

1684 Venture Dr
Suite F
Mount Vernon, OH 43050-8950
Phone (740) 392-7550

Other identifiers 1

IdentifierTypeStateIssuer
2226406MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071001000277 OH Part B Supplier - Clinic/Group Practice 4183719594 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Vernon, OH

National Provider Directory

National Provider Directory

Locations

1684 Venture Dr
Ste F
Mount Vernon, OH 43050
Phone (740) 392-7550

Practitioners & affiliated clinicians

Practitioners 1

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": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1972798759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 VENTURE DR",
            "address_2": "SUITE F",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508950",
            "telephone_number": "740-392-7550",
            "fax_number": "740-392-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 VENTURE DR",
            "address_2": "SUITE F",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508950",
            "telephone_number": "740-392-7550",
            "fax_number": "740-392-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN A NEWMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "ACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-392-7550",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2226406",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.