Organization Active NPI

Potent Chiropractic LLC

  • Chiropractor
  • Gahanna, OH
National Provider Identifier
1982322780
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
POTENT CHIROPRACTIC LLC
Practice address
5579 N Hamilton Rd
Gahanna, OH 43230-1321
Phone
(419) 569-6095
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Dr. Tylor Pritchard, DCNPI 1487318085
Title
Owner
Phone
(419) 569-6095

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 Primary

Addresses

Primary practice location

5579 N Hamilton Rd
Gahanna, OH 43230-1321

Mailing address

6826 Albany Woods Blvd
New Albany, OH 43054-9387
Phone (419) 569-6095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220916000285 OH Part B Supplier - Clinic/Group Practice 6800271503 Receives reassigned benefits from 1 practitioner
Practice locations: Gahanna, OH

National Provider Directory

National Provider Directory

Locations

5579 N Hamilton Rd
Gahanna, OH 43230
Phone (419) 569-6095

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1982322780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6826 ALBANY WOODS BLVD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549387",
            "telephone_number": "419-569-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5579 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301321",
            "telephone_number": "419-569-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "TYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-569-6095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.