Organization Active NPI

Pamer Family Chiropractic, LLC

  • Chiropractor
  • Powell, OH
National Provider Identifier
1982894945
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2868 Issued in OH
Legal business name
PAMER FAMILY CHIROPRACTIC, LLC
Practice address
246 W Olentangy St
Powell, OH 43065-8434
Phone
(614) 798-1419
Fax
(614) 798-1430
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Ms. Mackenzie B Pamer, DCNPI 1467473082
Title
Doctor
Phone
(614) 798-1419

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 2868 OH Primary

Addresses

Primary practice location

246 W Olentangy St
Powell, OH 43065-8434

Mailing address

246 W Olentangy St
Powell, OH 43065-8434
Phone (614) 798-1419

Other identifiers 1

IdentifierTypeStateIssuer
2257249MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121000473 OH Part B Supplier - Clinic/Group Practice 3678475746 Receives reassigned benefits from 1 practitioner
Practice locations: Powell, OH

National Provider Directory

National Provider Directory

Locations

246 W Olentangy St
Powell, OH 43065
Phone (614) 798-1419

218 W Olentangy St
Powell, OH 43065
Phone (614) 798-1419

Practitioners & affiliated clinicians

Practitioners 2

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": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1982894945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 W OLENTANGY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658434",
            "telephone_number": "614-798-1419",
            "fax_number": "614-798-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 W OLENTANGY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658434",
            "telephone_number": "614-798-1419",
            "fax_number": "614-798-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMER FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "PAMER",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "614-798-1419",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2257249",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.